Individual
MR. DEXTER PHILLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
VETERANS AFFAIRS MEDICAL CTR, 50 IRVING ST NW, CNRC - 2H200, WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
11688 S LAUREL DR APT 3C, LAUREL, MD 20708-3036
(301) 213-8328
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50078521
DC
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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