Individual
PHYLLIS PERRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 IVY GLEN CT, SMYRNA, DE 19977-4049
(215) 266-6342
Mailing address
43 IVY GLEN CT, SMYRNA, DE 19977-4049
(215) 266-6342
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0001202
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q1-0001202
DHHS - LCSW
DE
Enumeration date
12/16/2021
Last updated
12/16/2021
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