Individual
MISS KATIE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSSW
Contact information
Practice address
809 N 19TH ST, MIDDLESBORO, KY 40965
(606) 248-3042
Mailing address
207 OLD JACKSBORO PIKE APT B, CUMBERLAND GAP, TN 37724-4499
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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