DIANE K PHILLIPS

ALTON, IL
NPI1487978169
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2009027947)
Enumeration Date2010-03-24
Last Update Date2011-09-01
Business Address
-- DIANE K PHILLIPS LCSW
2615 EDWARDS ST
ALTON, IL 62002-3915
Phone number: 618-462-2331
Mailing Address
-- DIANE K PHILLIPS LCSW
1032 CROSSWINDS CT
WENTZVILLE, MO 63385-4836
Phone number: 636-332-8310