Individual
MS. ALICIA DANALLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P-LCSW
Contact information
Practice address
313 CLIFTON ST, GREENVILLE, NC 27858-5008
(252) 353-0100
Mailing address
313 CLIFTON ST, GREENVILLE, NC 27858-5008
(252) 353-0100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P007289
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005438
—
NC
05
—
8300651
—
NC
05
—
8300652
—
NC
05
—
8300653
—
NC
Enumeration date
06/18/2012
Last updated
06/18/2012
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