Individual
AMANDA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
504 LAKESIDE OFFICE PARK, SUITE 504, SOUTHAMPTON, PA 18966
(215) 354-0777
Mailing address
504 LAKESIDE OFFICE PARK, SUITE 504, SOUTHAMPTON, PA 18966
(215) 354-0777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW128942
PA
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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