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1386068013
JOHNATHAN PHILLIPS
TALLAHASSEE, FL
NPI
1386068013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW13595)
Enumeration Date
2014-02-18
Last Update Date
2019-09-26
Business Address
JOHNATHAN PHILLIPS
1834A JACLIF CT
TALLAHASSEE, FL 32308-4400
Phone number: 850-681-6001
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Mailing Address
JOHNATHAN PHILLIPS
459 GRACE AVE
PANAMA CITY, FL 32401-2756
Phone number: 850-215-6007
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