Individual
MRS. ANNE ELISE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5507 FARMERS LN, BLOOMFIELD, MI 48301-1108
(248) 205-0557
Mailing address
18925 OAK DR, DETROIT, MI 48221-2263
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801097621
MI
Other
Enumeration date
07/29/2019
Last updated
09/21/2020
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