Individual
MR. PHIL M PACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1 SUGAR CREEK CENTER BLVD, SUITE 320, SUGAR LAND, TX 77478-3560
(281) 265-7311
(281) 265-4683
Mailing address
1 SUGAR CREEK CENTER BLVD, SUITE 320, SUGAR LAND, TX 77478-3560
(281) 265-7311
(281) 265-4683
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29084
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
418306
VALUE OPTIONS
TX
Enumeration date
08/20/2006
Last updated
07/08/2007
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