Individual
KATHY MELINDA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2971 FORT HENRY DR, KINGSPORT, TN 37664-4005
(423) 392-2975
(423) 392-2983
Mailing address
2971 FORT HENRY DR, KINGSPORT, TN 37664-4005
(423) 392-2975
(423) 392-2983
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9444
TN
1041C0700X
Clinical Social Worker
Primary
6848
TN
Other
Enumeration date
12/07/2007
Last updated
03/21/2024
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