Individual
MRS. CINDY R PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
301 FALLS CREEK RD, TORNADO, WV 25202-9533
(606) 547-1027
(304) 727-5340
Mailing address
301 FALLS CREEK RD, TORNADO, WV 25202-9533
(606) 547-1027
(304) 727-5340
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1709
PRIMARY SERVICE COORDINAT
KY
Enumeration date
10/27/2006
Last updated
02/22/2008
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