Individual
MR. PHILIP MICHAEL CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
5100 WISCONSIN AVE NW, # 300, WASHINGTON, DC 20016-4119
(202) 244-8855
(202) 244-8856
Mailing address
5100 WISCONSIN AVE NW, # 300, WASHINGTON, DC 20016-4119
(202) 244-8855
(202) 244-8856
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50078955
DC
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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