Individual
MISS JOSIE J PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
622 COLLEGE AVE, ST. MARIES, ID 83837-2073
(208) 245-4363
(208) 245-4349
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 625-2070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
40643
ID
Other
Enumeration date
09/09/2016
Last updated
05/05/2022
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