Individual
SALLI BERRY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4950 ESSEN LN, BATON ROUGE, LA 70809-3738
(225) 215-1252
(225) 766-0218
Mailing address
652 PLANTATION RIDGE LN, BATON ROUGE, LA 70810-5052
(225) 405-0050
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1932
LA
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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