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1487978169
DIANE K PHILLIPS
ALTON, IL
NPI
1487978169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2009027947)
Enumeration Date
2010-03-24
Last Update Date
2011-09-01
Business Address
-- DIANE K PHILLIPS LCSW
2615 EDWARDS ST
ALTON, IL 62002-3915
Phone number: 618-462-2331
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Mailing Address
-- DIANE K PHILLIPS LCSW
1032 CROSSWINDS CT
WENTZVILLE, MO 63385-4836
Phone number: 636-332-8310
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