Individual
DENNIS RAY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5656 N JACKSON ST, JACKSONVILLE, TX 75766-9641
(903) 589-9000
(903) 589-3443
Mailing address
5656 N JACKSON ST, JACKSONVILLE, TX 75766-9641
(903) 589-9000
(903) 589-3443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1178
TX
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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