Individual
MICHAEL PHILLIP OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4455 ALLEN LN STE 130, NORTH LAS VEGAS, NV 89031-2208
(702) 385-1072
(702) 385-3053
Mailing address
4711 NARCISSUS DR, BARTLETT, TN 38135-1492
(615) 810-8180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10161-C
AR
1041C0700X
Clinical Social Worker
C9757
MS
1041C0700X
Clinical Social Worker
Primary
LSW0000007372
TN
Other
Enumeration date
09/20/2012
Last updated
09/08/2022
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