Individual
GEORGIA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1300 DIAMOND SPRINGS RD, SUITE 503, VIRGINIA BEACH, VA 23455-3645
(757) 656-1665
Mailing address
1300 DIAMOND SPRINGS ROAD, SUITE 503, VIRGINIA BEACH, VA 23455-3645
(757) 656-1665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003466
VA
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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