Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | C008865 | NC |
NPI | 1003174525 |
---|---|
Provider Name | Lindsey Marie Phillips |
First Address | Asheville, NC 28806-1831 |
Second Address | Asheville, NC 28806-1831 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2012 |
Last Update Date | 16/03/2021 |