Individual
JENNIFER PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1 STEELE ST STE 120, BURLINGTON, VT 05401-6205
(802) 999-0458
Mailing address
1 STEELE ST STE 120, BURLINGTON, VT 05401-6205
(802) 999-0458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890001221
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016791
—
VT
Enumeration date
06/05/2009
Last updated
09/23/2024
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