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Individual
MR. PHILLIP SHERIDAN MOSBY
Active
Individual
MR. PHILLIP SHERIDAN MOSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW ACSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801018735
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801018735
STATE OF MI DEPT OF COMM
MI
Enumeration date
08/07/2006
Last updated
02/24/2020
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