Corbitt, Deidra Phillips

Corbitt, Deidra Phillips is an individual health care provider with primary practice located at 9420 Blackshear Hwy , Baxley GA 31513-5715. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Corbitt, Deidra Phillips can be contacted via phone (912) 367-1242.

Contact Information

Primary practice address
9420 Blackshear Hwy Baxley GA 31513-5715
Phone: (912) 367-1242
Fax: (912) 367-1316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW005393 Georgia

Profile Details

NPI number 1326490590
LBN Legal business name Corbitt, Deidra Phillips
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2016
Last updated Jul 12th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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