Individual
KIMBERLY LAVENDER PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1910 PACIFIC AVE, DALLAS, TX 75201-4529
(214) 643-6820
Mailing address
246 EDGEWOOD DR, COPPELL, TX 75019-5804
(214) 675-7552
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104010
TX
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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