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1104193929
ALISA R BIVENS
FORT THOMAS, KY
NPI
1104193929
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Former Name
ALISA B LONGO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC145558)
Enumeration Date
2011-11-22
Last Update Date
2023-08-08
Business Address
ALISA R BIVENS LCSW
1501 ALEXANDRIA PIKE STE 102
FORT THOMAS, KY 41075-2561
Phone number: 207-400-7758
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Mailing Address
ALISA R BIVENS LCSW
1501 ALEXANDRIA PIKE STE 102
FORT THOMAS, KY 41075-2561
Phone number: 207-400-7758
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