Individual
MS. BEVERLEY CHARMAINE PHILLIPS-LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 BRADLEY RD, SUITE 905, WOODBRIDGE, CT 06525-2285
(203) 298-9005
(203) 298-9006
Mailing address
32 HOBSON AVE, HAMDEN, CT 06514-2506
(203) 843-0162
(848) 210-8173
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006116
CT
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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