Individual
MR. ISAAC MICHAEL PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7745 S 2325 E, COTTONWOOD HEIGHTS, UT 84121-5668
(801) 450-2798
Mailing address
7745 S 2325 E, COTTONWOOD HEIGHTS, UT 84121-5668
(801) 450-2798
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6613419-3501
UT
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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