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Individual

MARK A PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
65 TECHNOLOGY WAY STE 1E3, NASHUA, NH 03060
(603) 886-5565
(603) 886-8642
Mailing address
65 TECHNOLOGY WAY STE 1E3, NASHUA, NH 03060-3245
(603) 886-5565
(603) 886-8642

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
113434
MA
1041C0700X
Clinical Social Worker
Primary
1852
NH

Other

Enumeration date
04/14/2010
Last updated
08/08/2019
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