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Individual
PHILLIP CHARLES LIBRIZZI
Active
Individual
PHILLIP CHARLES LIBRIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001373A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000357949
ANTHEM
—
Enumeration date
12/01/2005
Last updated
07/08/2007
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