Individual
MISS CAITLIN C PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4550 WEST 103RD STREET, SUITE 302, OAK LAWN, IL 60453-4868
(773) 280-5675
Mailing address
540 EMERSON CIR, BOLINGBROOK, IL 60440-2635
(630) 819-9751
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150111655
IL
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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