Individual
LISA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6629 SPRING MILL CIR, BALTIMORE, MD 21207-5579
(443) 591-2658
Mailing address
6629 SPRING MILL CIR, BALTIMORE, MD 21207-5579
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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