Individual
LAURA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3310 MID VALLEY DR, DE PERE, WI 54115-9495
(920) 469-9646
(920) 469-9651
Mailing address
3310 MID VALLEY DR, DE PERE, WI 54115-9495
(920) 469-9646
(920) 469-9651
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7824-123
WI
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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