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MS. CASEY TOLLIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
345 E 118TH ST APT 1B, NEW YORK, NY 10035-4251
(704) 724-2858
Mailing address
345 E 118TH ST APT 1B, NEW YORK, NY 10035-4251
(704) 724-2858

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011069
NY

Other

Enumeration date
07/16/2022
Last updated
07/16/2022
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