Individual
LARRY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.S.W.
Contact information
Practice address
1410 PICKWICK ST S, SAVANNAH, TN 38372-3519
(731) 925-5054
(731) 925-5699
Mailing address
1410 PICKWICK ST S, SAVANNAH, TN 38372-3519
(731) 925-5054
(731) 925-5699
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
07/09/2007
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