Phillip Edward Archibald, LCSW

NPI #1396103487 in Thermopolis, Wyoming

Provider Information

NPI Number: 1396103487
Entity Type: Individual
Name: Phillip Edward Archibald, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Feb 3, 2016
Last Updated: Dec 11, 2017

Practice Location

Address: 121 S 4TH ST
City: Thermopolis
State: Wyoming
ZIP Code: 82443-2634
Phone: (307) 864-3138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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