Individual
MR. PHILLIP A MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
1503 UNIVERSITY BLVD NE, OUTCOMES, INC, ALBUQUERQUE, NM 87102-1708
(505) 792-4271
Mailing address
1503 UNIVERSITY BLVD NE, OUTCOMES, INC, ALBUQUERQUE, NM 87102-1708
(505) 792-4271
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05139
NM
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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