Individual
MS. PATRICIA KISTE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
Mailing address
PO BOX 53, THAXTON, MS 38871-0053
(662) 231-4509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
C8535
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M8535
LMSW
MS
Enumeration date
09/28/2006
Last updated
03/26/2019
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