Individual
MICHELLE LOUISE BUHMAN-LIVERMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 OAK ST, SHELDON, IA 51201-1242
(712) 324-5356
(712) 324-6515
Mailing address
6332 WEST LAREDO ST, CHANDLER, AZ 85226
(602) 769-4767
(712) 234-0225
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
05630
IA
1041C0700X
Clinical Social Worker
05630
IA
1041C0700X
Clinical Social Worker
LCSW-12738
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05630
LICENSE
IA
01
—
LCSW-12738
ARIZONA BOARD OF BEHAVIORAL HEALTH
AZ
Enumeration date
03/01/2006
Last updated
07/21/2022
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