PHILLIP A. WILBURN

CROWN POINT, IN
NPI1720005440
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34001917A)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: IL  149-001105)
Enumeration Date2006-07-17
Last Update Date2011-12-10
Business Address
Mr. PHILLIP A. WILBURN LCSW
5241 FOUNTAIN DR SUITE G
CROWN POINT, IN 46307-5323
Phone number: 219-381-5648
Mailing Address
Mr. PHILLIP A. WILBURN LCSW
3938 W 78TH CT # 31
MERRILLVILLE, IN 46410-8705
Phone number: 219-381-5648