Individual
KAITLAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
19 RIDGE RD, RISING SUN, MD 21911-1545
(302) 824-9636
Mailing address
19 RIDGE RD, RISING SUN, MD 21911-1545
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21503
MD
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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