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Individual

MS. MICHELLE PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
7640 HIGHWAY 70 S, SUITE 209, NASHVILLE, TN 37221-1758
(615) 646-1141
(615) 646-1149
Mailing address
7640 HIGHWAY 70 S, SUITE 209, NASHVILLE, TN 37221-1758
(615) 646-1141
(615) 646-1149

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW3486
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3698988
TN
01
4071524
BCBST
TN
01
499916
VALUE OPTIONS
TN
Enumeration date
05/21/2007
Last updated
07/08/2007
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