Individual
SHAUNA MOORE TOLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
2900 MARANVILLE TRL, WINSTON SALEM, NC 27107-4448
(336) 409-5581
Mailing address
2900 MARANVILLE TRL, WINSTON SALEM, NC 27107-4448
(336) 409-5581
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P016015
NC
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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