Jessica Marie Livernois
Specialist/Technologist, Speech-Language Assistant in White Lake, MI. Individual provider (NPI-1).
NPI number1457544751
StatusActive
Last updated in NPPESAug 21, 2007
Details
- NPI
- 1457544751
- Entity type
- Individual (NPI-1)
- Name
- Jessica Marie Livernois
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 21, 2007
- Last updated
- Aug 21, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | L165403585699 | MI | Yes |
Practice location
649 Woodsedge LnWhite Lake, MI 48386-3554
Phone 248-255-5285
Mailing address
649 Woodsedge LnWhite Lake, MI 48386-3554
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