Individual
SUSANNAH L SHELL-PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1101 4TH STREET, FLOOR 2, SIOUX CITY, IA 51101-1952
(712) 490-0006
(402) 496-9499
Mailing address
1101 4TH STREET, FLOOR 2, SIOUX CITY, IA 51101-1952
(402) 496-9966
(402) 496-9499
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01313
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1152322
—
IA
Enumeration date
10/10/2006
Last updated
11/28/2022
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