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1215261839
ELISSA LIVERMORE
CAMARILLO, CA
NPI
1215261839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-09-29
Last Update Date
2009-09-29
Business Address
-- ELISSA LIVERMORE
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-383-3669
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Mailing Address
-- ELISSA LIVERMORE
752 FOREST PARK BLVD
OXNARD, CA 93036-5365
Phone number: 805-383-3669
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