Phillips, Mildred W

Phillips, Mildred W is an individual health care provider with primary practice located at 4903 Van Dyke Road , Lutz FL 33558-4813. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Phillips, Mildred W can be contacted via phone (813) 265-3859.

Contact Information

Primary practice address
4903 Van Dyke Road Lutz FL 33558-4813
Phone: (813) 265-3859
Fax: (813) 265-3966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW1370 Florida

Profile Details

NPI number 1053429852
LBN Legal business name Phillips, Mildred W
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Nov 17th, 2010 - about 16 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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