Individual
MS. JOANN LYNN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.S.W.
Contact information
Practice address
108 N MAIN ST, SUITE #305, INTRIGUE COUNSELING, SOUTH BEND, IN 46601-1625
(574) 234-3515
Mailing address
1714 GEORGIAN DR, SOUTH BEND, IN 46614-6236
(574) 231-8847
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33004973A
IN
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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