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1235914953
LISA LIVERMORE
HAUPPAUGE, NY
NPI
1235914953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: P124124)
Enumeration Date
2023-08-30
Last Update Date
2023-08-30
Business Address
LISA LIVERMORE LPMHC
11 SPARROW LN
HAUPPAUGE, NY 11788-2221
Phone number: 516-376-0950
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Mailing Address
LISA LIVERMORE LPMHC
31 FAIRMOUNT ST
HUNTINGTON, NY 11743-3501
Phone number: 516-987-7654
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