LACEY NICOLE TOLLIVER

SOMERSET, KY
NPI1669286910
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2025-02-06
Last Update Date2025-10-08
Business Address
LACEY NICOLE TOLLIVER CPSS, CSA
80 HIGHWAY 2227
SOMERSET, KY 42503-1562
Phone number: 606-485-4003
Mailing Address
LACEY NICOLE TOLLIVER CPSS, CSA
233 PARKERS MILL WAY
SOMERSET, KY 42503-4152
Phone number: 606-458-4450