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1124373402
LISA KIMBERLY LIVINGSTON
DAVENPORT, IA
NPI
1124373402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 007754)
Enumeration Date
2012-07-23
Last Update Date
2012-07-23
Business Address
-- LISA KIMBERLY LIVINGSTON MSW, LCSW, LISW
2800 EASTERN AVE
DAVENPORT, IA 52803-2012
Phone number: 563-445-0557
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Mailing Address
-- LISA KIMBERLY LIVINGSTON MSW, LCSW, LISW
2634 GLENN ST
BETTENDORF, IA 52722-3824
Phone number: 510-295-8405
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