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Individual
SCOTT PHILLIPS
Active
Individual
SCOTT PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW,LMFT
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003226
IN
106H00000X
Marriage & Family Therapist
35001327
IN
Other
Enumeration date
07/18/2006
Last updated
01/24/2023
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