Individual
DENNIS PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
704 SHILOH PIKE # A, BRIDGETON, NJ 08302-1460
(856) 451-5511
(856) 451-3589
Mailing address
704 A SHILOH PIKE, BRIDGETON, NJ 08302
(856) 451-5511
(856) 451-3589
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SCO1338500
NJ
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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