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Individual

TERICA G TOLIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1300 S 4TH ST, LOUISVILLE, KY 40208-2489
(225) 362-1119
Mailing address
17497 HIGHWAY 64 W, RANGELY, CO 81648-2522
(970) 675-8411

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10925
LA
1041C0700X
Clinical Social Worker
254640
KY
1041C0700X
Clinical Social Worker
28785
MN
1041C0700X
Clinical Social Worker
59600
MN
1041C0700X
Clinical Social Worker
Primary
CSW.09927008
CO
1041C0700X
Clinical Social Worker
I.1901398
OH

Other

Enumeration date
08/15/2017
Last updated
01/28/2021
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