Individual
CARISSA LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
72772 ELM ST, ODANAH, WI 54861-0055
(715) 682-7127
(715) 685-7888
Mailing address
PO BOX 55, ODANAH, WI 54861-0055
(715) 682-7127
(715) 685-7888
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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