Individual
VERONICA ANN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
443 HIGHWAY 105, PALMER LAKE, CO 80133-9003
(719) 884-0063
Mailing address
443 HIGHWAY 105, PALMER LAKE, CO 80133-9003
(719) 884-0063
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWC.0000000002
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922514306
—
CO
Enumeration date
08/06/2022
Last updated
08/06/2022
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