Individual
JOSIE LYNNLEE TOLLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 LANDSDOWNE DR, ASHLAND, KY 41102-5422
(606) 329-8588
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
06/23/2022
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