Individual
SHANNON TOLLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
530 MILLER AVE, ANN ARBOR, MI 48103-3342
(401) 524-6588
Mailing address
173 WATERMAN ST, PROVIDENCE, RI 02906-3919
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/15/2014
Last updated
02/20/2026
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