Individual
ALICIA RAE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-8900
Mailing address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-8900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802088096
MI
Other
Enumeration date
04/21/2014
Last updated
04/26/2017
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