Individual
MRS. JACQULINE DELANE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
328 DENISON ST, HIGHLAND PARK, NJ 08904-2732
(732) 248-7782
Mailing address
328 DENISON ST, HIGHLAND PARK, NJ 08904-2732
(732) 248-7782
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC04516
NJ
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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