RENE BERNADETTE LIVINGSTON-DETIENNE

MADISON, WI
NPI1962270884
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  20046-130)
Enumeration Date2023-12-20
Last Update Date2023-12-20
Business Address
Ms. RENE BERNADETTE LIVINGSTON-DETIENNE SAC-IT
4785 HAYES RD STE 200
MADISON, WI 53704-7364
Phone number: 608-844-8473
Mailing Address
Ms. RENE BERNADETTE LIVINGSTON-DETIENNE SAC-IT
4722 MAHER AVE
MADISON, WI 53716-2232
Phone number: 608-219-7053
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