Individual
ALBERT LEON PHILLIPS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2741 GLENVALLEY DR, DECATUR, GA 30032-4207
(404) 840-4896
Mailing address
2741 GLENVALLEY DR, DECATUR, GA 30032-4207
(404) 840-4896
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW008225
GA
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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