Individual
MS. TIFFANY NICOLE TOLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
809 POLK ST, MANSFIELD, LA 71052-2452
(318) 871-5566
Mailing address
3914 PIXLEY DR, SHREVEPORT, LA 71109-8202
(318) 458-5370
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13700
LA
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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