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Individual

MS. CHERIDAN TOLLIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW, LCSW-C, LCSW

Contact information

Practice address
216 MIDDLE RD, HAMPTON, VA 23666-4657
(313) 580-3689
(757) 766-0160
Mailing address
216 MIDDLE RD, HAMPTON, VA 23666-4657
(313) 580-3689
(757) 766-0160

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904011070
VA
1041C0700X
Clinical Social Worker
17951
MD
1041C0700X
Clinical Social Worker
Primary
LC50078964
DC

Other

Enumeration date
08/19/2013
Last updated
05/01/2025
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