Individual
SHIRAH TOLLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
645 HIGHWAY 80 E, MONROE, LA 71203-8527
(318) 343-8744
Mailing address
1810 N MCGUIRE AVE, MONROE, LA 71203-3422
(318) 801-5771
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
1660
LA
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/12/2016
Last updated
07/17/2023
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