Individual
MRS. CAROL LUCRECIA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10255 BASSETT ST, LIVONIA, MI 48150-2412
(734) 673-1741
Mailing address
31509 BOCK ST, GARDEN CITY, MI 48135-1410
(734) 673-1741
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
6801087981
MI
Other
Enumeration date
04/23/2014
Last updated
05/28/2025
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