Individual
BAELEE K PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 WILSON ST, PARK FOREST, IL 60466-1530
(708) 580-3549
Mailing address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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