Individual
DR. ROBERT OWEN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DBH, LMSW, LADAC
Contact information
Practice address
1311 HIGHLAND RD, ROSWELL, NM 88201-2144
(575) 623-3213
Mailing address
1311 HIGHLAND RD, ROSWELL, NM 88201-2144
(575) 623-3213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-05075
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30831814
—
NM
Enumeration date
02/24/2012
Last updated
01/08/2013
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