Individual
MR. JONATHAN H. PHILLIPS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2100 BROADWAY, DENVER, CO 80205-2526
(303) 813-4308
Mailing address
1553 S BEECH ST, LAKEWOOD, CO 80228-3732
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
245
CO
Other
Enumeration date
06/11/2006
Last updated
07/08/2007
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