Individual
BERTHA M PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DCC, LMSW
Contact information
Practice address
211 E BOUNDARY ST, CHAPIN, SC 29036-8386
(803) 345-5047
(803) 345-0112
Mailing address
211 E BOUNDARY ST, CHAPIN, SC 29036-8386
(803) 345-5047
(803) 345-0112
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
LMSW 6218
SC
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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