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Individual
MR. LLOYD PHILLIPS
Active
Individual
MR. LLOYD PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R025155-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136868
VALUE OPTIONS PIN
NY
01
—
7478952
GHI PIN
NY
Enumeration date
01/09/2007
Last updated
07/08/2007
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