PHILLIP SQUIBB

KLAMATH FALLS, OR
NPI1295018000
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  6673)
Additional Taxonomies1041S0200X Social Worker, School
Enumeration Date2011-09-28
Last Update Date2022-02-04
Business Address
PHILLIP SQUIBB
3100 PLUM HILL RD
KLAMATH FALLS, OR 97601-9350
Phone number: 618-267-6121
Mailing Address
PHILLIP SQUIBB
PO BOX 62
KLAMATH FALLS, OR 97601-0004
Phone number: