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Individual
MR. MICHAEL BLAINE PHILLIPS
Active
Individual
MR. MICHAEL BLAINE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12591213-3502
UT
1041C0700X
Clinical Social Worker
Primary
12591213-3503
UT
Other
Enumeration date
01/03/2024
Last updated
08/11/2026
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