Individual
JOHNA J PHILLIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
112 W 1ST ST, MONTICELLO, IA 52310-1519
(319) 975-1544
(509) 271-6151
Mailing address
10603 155TH ST, SCOTCH GROVE, IA 52310-7447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
097826
IA
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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