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NPI Code Detail

MEDICARE: LIVI S WESTBROOK

MEDICARE:   LIVI S WESTBROOK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerMSW009143GA

General Provider Information

NPI Number : 1407587645
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIVI S WESTBROOK
Provider Business Mailing Address
First Line : 353 VALLEY VIEW CIR
Second Line :
City : DALLAS
State : GA
Zip : 30132-9807
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2601 SUMMERS ST NW
Second Line :
City : KENNESAW
State : GA
Zip : 30144-3547
Country : US
Telephone Number : 404-884-2080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2022
Last Update Date : 08/28/2025

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Directions to “ LIVI S WESTBROOK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.