Larry Livermore

NPI #1013218585 in Sault Sainte Marie, Michigan

Provider Information

NPI Number
1013218585
Entity Type
Individual
Name
Larry Livermore
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Nov 15, 2010
Last Updated
Nov 15, 2010

Practice Location

Address
3865 S MACKINAC TRL
ZIP Code
49783-9286
Phone
(906) 632-2805

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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