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Individual
TONYA CHARISE PHILLIPS
Active
Individual
TONYA CHARISE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C,LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA1814
MD
1041C0700X
Clinical Social Worker
Primary
14364
MD
Other
Enumeration date
09/29/2010
Last updated
09/10/2013
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