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Individual
PHYLLIS PETERSON PARRISH
Active
Individual
PHYLLIS PETERSON PARRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C000393
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201035
COMPSYCH
NC
05
—
6002450
—
NC
01
—
65586
BLUE CROSS BLUE SHIELD
NC
Enumeration date
01/16/2006
Last updated
08/28/2012
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