Individual
ANNA MARY AMES PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2565 HAMLINE AVE N STE A, ROSEVILLE, MN 55113-3181
(763) 515-8893
(651) 330-8718
Mailing address
1779 WALNUT ST, LAUDERDALE, MN 55113-5243
(612) 280-9168
(651) 330-8718
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27944
MN
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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