Kathleen M Phillips

NPI #1659591097 in Moriarty, New Mexico

Provider Information

NPI Number: 1659591097
Entity Type: Individual
Name: Kathleen M Phillips
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Apr 26, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 200 CENTER STREET
City: Moriarty
State: New Mexico
ZIP Code: 87035-0000
Phone: (505) 832-5817

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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