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Individual
MRS. GWENDOLYN PHILLIPS
Active
Individual
MRS. GWENDOLYN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A, MCAP, IMH 9889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADC-012635-2016
FL
101YM0800X
Mental Health Counselor
Primary
IMH 9889
FL
Other
Enumeration date
02/03/2010
Last updated
02/22/2017
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