Individual
MS. CONSTANCE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
(414) 251-8358
Mailing address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
(414) 251-8358
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15786-132
WI
1041C0700X
Clinical Social Worker
Primary
128469-121
WI
Other
Enumeration date
07/27/2016
Last updated
05/23/2022
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