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NPI Code Detail

MEDICARE: MRS. ALLISON L. PHILLIPS

MEDICARE: MRS. ALLISON L. PHILLIPS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker9183778-3501UT

General Provider Information

NPI Number : 1861830887
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALLISON L. PHILLIPS
Provider Business Mailing Address
First Line : 64 ELDREDGE ST.
Second Line :
City : NEWTON
State : MA
Zip : 02458
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5558 S 1900 W
Second Line :
City : TAYLORSVILLE
State : UT
Zip : 84129-9007
Country : US
Telephone Number : 801-255-5131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2013
Last Update Date : 04/01/2022

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Directions to “ MRS. ALLISON L. PHILLIPS ” Practice Location

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