Individual
MR. ALBERT PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
4604 SUNBROOK AVE, BALTIMORE, MD 21206-3326
(443) 415-5384
Mailing address
4604 SUNBROOK AVE, BALTIMORE, MD 21206-3326
(443) 415-5384
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
G11381
MD
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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