Individual
MR. HARRY DOUGLAS LIVESAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
505 E PALM VALLEY BLVD STE 240, ROUND ROCK, TX 78664-3043
(844) 824-8775
Mailing address
505 E PALM VALLEY BLVD STE 240, ROUND ROCK, TX 78664-3043
(844) 824-8775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26298
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1999443-02
—
TX
Enumeration date
05/01/2007
Last updated
11/04/2024
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