Individual
JANELLE AYANA PHILLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
14900 4TH ST, APT. 204, LAUREL, MD 20707-3744
(301) 404-7499
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
17917
MD
1041C0700X
Clinical Social Worker
Primary
LC50078554
DC
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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