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1700170503
MELISSA BROOKE LIVINGSTON
BAY SHORE, NY
NPI
1700170503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 078009-1)
Enumeration Date
2011-06-09
Last Update Date
2011-06-09
Business Address
-- MELISSA BROOKE LIVINGSTON LCSW
260 MAIN STREET WEST SUITE 8
BAY SHORE, NY 11706
Phone number: 631-647-9009
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Mailing Address
-- MELISSA BROOKE LIVINGSTON LCSW
16 BRANWOOD DRIVE
DIX HILLS, NY 11746
Phone number: 917-992-4252
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