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1063973030
JENELLE PHILLIPS
LOS GATOS, CA
NPI
1063973030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: CA LCSW22149)
Enumeration Date
2019-03-30
Last Update Date
2019-03-30
Business Address
JENELLE PHILLIPS LCSW
718 UNIVERSITY AVE STE 110
LOS GATOS, CA 95032-7608
Phone number: 408-896-0736
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Mailing Address
JENELLE PHILLIPS LCSW
120 AMANDA LN
LOS GATOS, CA 95032-4713
Phone number: 408-896-0736
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