Individual
MICHAEL DAVID PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
3066 MOUNT CHARLESTON DR, PAHRUMP, NV 89048-1048
(336) 883-5543
Mailing address
3066 MOUNT CHARLESTON DR, PAHRUMP, NV 89048-1048
(336) 883-5543
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61479165
WA
1041C0700X
Clinical Social Worker
Primary
SWI.LW.61502192
WA
Other
Enumeration date
09/11/2023
Last updated
01/28/2026
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