Individual
ANDI MARIE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
100 N CHESTNUT ST STE 235, CHAMPAIGN, IL 61820-4872
(217) 693-9280
Mailing address
907 E ILLINOIS ST, URBANA, IL 61801-3510
(217) 417-6056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015918
IL
Other
Enumeration date
07/21/2011
Last updated
10/03/2025
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