Individual
MARY LOU PHILAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
14001 N 7TH ST, SUITE B104, PHOENIX, AZ 85022-4382
(602) 993-2959
Mailing address
14001 N 7TH ST, SUITE B104, PHOENIX, AZ 85022-4382
(602) 993-2959
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11661
AZ
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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