Individual
ALMA CATHERINE PHIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
900 AMERICAN BLVD E, SUITE 103, BLOOMINGTON, MN 55420-1392
(952) 854-7200
(952) 854-7772
Mailing address
900 AMERICAN BLVD E, SUITE 103, BLOOMINGTON, MN 55420-1392
(952) 854-7200
(952) 854-7772
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16584
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7680218
MN CARE TAX ID
MN
01
—
992N6PH
BLUE CROSS BLUE SHIELD
MN
Enumeration date
04/10/2007
Last updated
07/08/2007
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