LARRY LIVERMORE

SAULT SAINTE MARIE, MI
NPI1013218585
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  1-04619)
Enumeration Date2010-11-15
Last Update Date2010-11-15
Business Address
-- LARRY LIVERMORE
3865 S MACKINAC TRL
SAULT SAINTE MARIE, MI 49783-9286
Phone number: 906-632-2805
Mailing Address
-- LARRY LIVERMORE
125 N LAKE ST
MANISTIQUE, MI 49854-1234
Phone number:
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