Individual
JAMES PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LSW
Contact information
Practice address
2014 VANDALIA ST, COLLINSVILLE, IL 62234-4848
(618) 345-9536
(618) 345-9587
Mailing address
2014 VANDALIA ST, COLLINSVILLE, IL 62234-4848
(618) 345-9536
(618) 345-9587
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150015735
IL
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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