NPI 1659591097

Kathleen M Phillips

Practitioner Social Worker Moriarty, NM

Practice location

Address: 200 Center Street, Moriarty, NM 87035-0000
Phone: (505) 832-5817
Fax: (505) 832-5918
Mailing address: PO Box 2000, Moriarty, NM 87035-2000

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence I-05054 (NM)

Other Social Worker providers in New Mexico →

Registry record

NPI: 1659591097
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Apr 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.