Individual
MS. BRENDA MAYDA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
100 W. GRIGGS, LAS CRUCES, NM 88001
(575) 650-7729
(575) 647-2898
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-05405
NM
Other
Enumeration date
04/22/2013
Last updated
10/21/2015
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