Individual
DONNELL NONI PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
7131 RUTHERFORD RD, WINDSOR MILL, MD 21244-2702
(410) 298-2691
Mailing address
4142 HUNTERS HILL CIR, RANDALLSTOWN, MD 21133-5340
(410) 917-6629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13152
MD
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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