Individual
JOHN HUNTER PHILLIPS IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
237 GUM BAYOU LN, KENNER, LA 70065-6624
(504) 957-9659
Mailing address
237 GUM BAYOU LN, KENNER, LA 70065-6624
(504) 957-9659
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14102
LA
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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