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Individual
MARTHA E PHILLIPS
Active
Individual
MARTHA E PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
852059
OH
1041C0700X
Clinical Social Worker
Primary
I0007228
OH
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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