Philip Glen Bascom, LCSW
NPI #1831183623 in Robins Afb, Georgia
Provider Information
- NPI Number
- 1831183623
- Entity Type
- Individual
- Name
- Philip Glen Bascom, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Sep 7, 2005
- Last Updated
- Sep 7, 2010
Practice Location
- Address
- 655 7TH ST BLDG 700
- City
- Robins Afb
- State
- Georgia
- ZIP Code
- 31098-2227
- Phone
- (850) 461-2083
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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