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Individual
MRS. KATY L TOLLIVER
Active
Individual
MRS. KATY L TOLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
C006081
NC
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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