Individual
MR. MARK KEVIN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RSW
Contact information
Practice address
909 S BROAD ST, NEW ORLEANS, LA 70125
(504) 483-3558
(504) 525-4483
Mailing address
909 S BROAD ST, NEW ORLEANS, LA 70125-1421
(504) 483-3558
(504) 525-4483
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/23/2015
Last updated
11/06/2018
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