Individual
MRS. EILEEN DONNELLY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
52 PINE ST, WATERBURY, CT 06710-2169
(203) 756-7287
Mailing address
52 PINE ST, WATERBURY, CT 06710-2169
(203) 756-7287
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007359
CT
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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