# GAYLE PHILLIPS, LCSW INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336151117
- **Authorized official:** GAYLE PHILLIPS LCSW (CEO)
- **Authorized official phone:** (801) 352-5714

## Contact information

- **Practice address:** 860 E 4500 S, SUITE \#302, SALT LAKE CITY, UT 84107-3002
- **Practice address phone:** (801) 352-5714
- **Mailing address:** PO BOX 17076, SALT LAKE CITY, UT 84117-0076
- **Mailing address phone:** (801) 352-5714
- **Mailing address fax:** (801) 288-0621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 136310-3501 | UT | Yes |

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 12/27/2010