Individual
DR. TRACEY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LMSW
Contact information
Practice address
4390 BELLE OAKS DR, NORTH CHARLESTON, SC 29405-8559
(843) 554-7244
Mailing address
4390 BELLE OAKS DR, NORTH CHARLESTON, SC 29405-8559
(843) 554-7244
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8209
SC
Other
Enumeration date
09/11/2012
Last updated
01/22/2015
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