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Individual

DELITHA DARLENE LIVINGSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 WEST HOSPITAL DRIVE, WHITERIVER, AZ 85941
(928) 338-4911
(928) 338-3522
Mailing address
PO BOX 860, WHITERIVER, AZ 85941-0860
(928) 338-4911
(928) 338-3522

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13341
AZ

Other

Enumeration date
10/27/2011
Last updated
10/27/2011
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