Individual
MS. IRIS DENISE PHILLIPS-PULLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6700 COOLRIDGE RD, TEMPLE HILLS, MD 20748-2704
(240) 472-0780
Mailing address
6700 COOLRIDGE RD, TEMPLE HILLS, MD 20748-2704
(240) 472-0780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC301398
DC
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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