Individual
MISS MARSHA FAYE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED SOCIAL WORK
Contact information
Practice address
52 TOMMY ST, KIMBALL, WV 24853-2485
(304) 928-5678
Mailing address
PO BOX 492, KIMBALL, WV 24853-0492
(304) 928-5678
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP009409553
WV
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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