Individual
MR. MICHAEL BLAINE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SSW
Contact information
Practice address
352 S DENVER ST STE 350, SALT LAKE CITY, UT 84111-3059
(801) 960-7281
Mailing address
352 S DENVER ST STE 350, SALT LAKE CITY, UT 84111-3059
(801) 521-4227
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12591213-3503
UT
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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