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1104471960
ELLEN LIVENGOOD
LEXINGTON, KY
NPI
1104471960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 25316)
Enumeration Date
2019-08-07
Last Update Date
2019-08-07
Business Address
ELLEN LIVENGOOD
1177 KALONE WAY
LEXINGTON, KY 40515-5432
Phone number: 859-707-5910
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Mailing Address
ELLEN LIVENGOOD
1177 KALONE WAY
LEXINGTON, KY 40515-5432
Phone number: 859-707-5910
Copy
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