Phillips, Marietta Virginia

Phillips, Marietta Virginia is an sole proprietor health care provider with primary practice located at 673Mdg, 5955 Zeamer Avenue Jber, Anchorage AK 99506. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Phillips, Marietta Virginia can be contacted via phone (907) 384-1517.

Contact Information

Primary practice address
673Mdg, 5955 Zeamer Avenue Jber Anchorage AK 99506
Phone: (907) 384-1517
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0318 Alaska

Profile Details

NPI number 1295886794
LBN Legal business name Phillips, Marietta Virginia
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2007
Last updated May 9th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295886794 NPPES
Other XXXXXXXXXX MILITARY

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