Individual
MR. PHILLIP STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1055 SUNFLOWER DR STE 104, CONWAY, AR 72034-3651
(501) 697-6631
Mailing address
620 S 21ST ST, FORT SMITH, AR 72901-3915
(479) 785-4083
(479) 434-6248
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13040-M
AR
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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