Provider Information for 1811243926
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BRIANNE PHILLIPS LSCSW, LCSW, RPT-S
Other Names:Former Name:BRIANNE KNEESHAWSex: Female
NPI: 1811243926
Last Updated: 2015-03-27
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1811243926 | ||||||||
| Enumeration Date | 2012-07-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 825 N SUMAC ST GARDNER, KS 66030-2211 United States Phone: 913-439-8176 | Fax: | ||||||||
| Primary Practice Address | 825 N SUMAC ST GARDNER, KS 66030-2211 United States Phone: 913-439-8176 | Fax: | ||||||||
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