Individual
CONSTANCE TOLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4938 S CHAMPLAIN AVE APT 2S, CHICAGO, IL 60615-2546
(773) 312-2047
Mailing address
4938 S CHAMPLAIN AVE APT 2S, CHICAGO, IL 60615-2546
(773) 312-2047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149008238
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
04/17/2022
Last updated
04/17/2022
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