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PHYLLIS J COOLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSW

Contact information

Practice address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-9779
(812) 463-7874
Mailing address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-9779
(812) 463-7874

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34000114A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000220131
ANTHEM
IN
Enumeration date
11/28/2006
Last updated
12/22/2010
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