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Contact Information

DALLAS V PHELPS, MSW ICSW
200 PUTNAM STREET
SUITE 410
MARIETTA, OH45750
 Phone: 740-525-9474
 Fax: 740-678-2698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for DALLAS V PHELPS · (Male)

NPI # 1790954493
Status Active
Credentials MSW ICSW
Entity Individual
Enumeration date 02/27/2008
Last updated 02/27/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # I0500009
  • WV License # DP00941203
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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