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Individual
JUDI A PHILLIPS
Active
Individual
JUDI A PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC, LPC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000491A
IN
101YP2500X
Professional Counselor
2555
TN
Other
Enumeration date
02/17/2010
Last updated
08/12/2013
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