Individual
MR. JONATHAN MILES PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW CMD
Contact information
Practice address
2325 S HARVARD, TULSA, OK 74114-3300
(918) 712-4301
(918) 712-3409
Mailing address
650 S PEORIA, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-0137
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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