JENNIFER LIVESAY

VIENNA, IL
NPI1477195030
Former NameJENNIFER LOCKHART
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-10-15
Last Update Date2019-10-15
Business Address
JENNIFER LIVESAY BA MHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
Mailing Address
JENNIFER LIVESAY BA MHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
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