Individual
MR. STEWART G. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LSW
Contact information
Practice address
2121 7TH ST, PARKERSBURG, WV 26101-3803
(304) 485-1721
Mailing address
135 RAUCH DR, MARIETTA, OH 45750-9756
(740) 374-6845
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00940269
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP00940269
WV SW NUMBER
WV
Enumeration date
04/06/2007
Last updated
07/08/2007
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