Individual
MRS. KIM PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2005 CHURCHILL LN, ROSWELL, GA 30075-5613
(404) 452-1179
Mailing address
2005 CHURCHILL LN, ROSWELL, GA 30075-5613
(404) 452-1179
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002675
GA
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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