Individual
MICHAEL J PHILBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LMSW
Contact information
Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 968-2060
Mailing address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 968-2060
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2015038709
MO
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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