Tolliver, Sandra Jean

Tolliver, Sandra Jean is an sole proprietor health care provider with primary practice located at 1079 Spruce Street , Martinsville VA 24115. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tolliver, Sandra Jean can be contacted via phone (276) 226-5837.

Contact Information

Primary practice address
1079 Spruce Street Martinsville VA 24115
Phone: (276) 226-5837
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904000858 Virginia

Profile Details

NPI number 1376588392
LBN Legal business name Tolliver, Sandra Jean
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2006
Last updated Sep 29th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376588392 NPPES
Virginia MEDICAID 008948704

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