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Individual

COLLEEN ANN PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6000 W HIGHWAY 98, PENSACOLA, FL 32512-1350
(850) 505-6664
Mailing address
1017 CLAIRE DR, SLIDELL, LA 70461-1350
(412) 807-1531

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
13075
LA
1041C0700X
Clinical Social Worker
Primary
C8654
MS

Other

Enumeration date
09/14/2020
Last updated
05/22/2024
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