Provider Information for 1194060178
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ANGELA LEAH PHILLIPS MSW, LSWAIC
Sex: Female
NPI: 1194060178
Last Updated: 2024-01-11
Certification Date: 2024-01-11
Certification Date: 2024-01-11
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1194060178 | ||||||||||||||||
| Enumeration Date | 2012-12-03 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 10740 MERIDIAN AVE N SUITE 205 SEATTLE, WA 98133-9010 United States Phone: 206-535-6292 | Fax:206-356-1151 | ||||||||||||||||
| Primary Practice Address | 10740 MERIDIAN AVE N SUITE 205 SEATTLE, WA 98133-9010 United States Phone: 206-535-6292 | Fax:206-356-1151 | ||||||||||||||||
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