Individual
JENNIFER RUTH PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9015 N 3RD ST, PHOENIX, AZ 85020-2444
(480) 882-4545
(602) 870-6348
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(480) 882-5814
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18192
AZ
1041C0700X
Clinical Social Worker
3890C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402627
—
AZ
Enumeration date
05/13/2013
Last updated
02/21/2023
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