Individual
KAYLA TOLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
203 CENTRAL PARK LN, SENECA, SC 29678-1156
(864) 973-1359
Mailing address
203 CENTRAL PARK LN, SENECA, SC 29678-1156
(864) 973-1359
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
13925
SC
1041C0700X
Clinical Social Worker
Primary
17178
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/29/2019
Last updated
05/07/2025
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