Individual
CANDYCE LOUISE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 N HOLTON ST, SUITE 400, MILWAUKEE, WI 53212-1008
(414) 810-1535
Mailing address
4232 W HIGHLAND BLVD APT 306, MILWAUKEE, WI 53208-2780
(414) 469-4470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
129716-121
WI
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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