Individual
YVETTE DARNELL PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
9475 LOTTSFORD RD, LARGO, MD 20774-5357
(301) 636-6504
(301) 636-6509
Mailing address
PO BOX 4460, CAPITOL HEIGHTS, MD 20791-4460
(301) 636-6504
(301) 636-6509
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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