Individual
PETER T PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
34 SUMMER ST, BANGOR, ME 04401-6446
(207) 945-5247
(207) 947-0435
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LS9976
ME
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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