Individual
JENNIFER PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
812 GRADYHILL PL, MIDLOTHIAN, VA 23114-3362
(804) 937-0507
Mailing address
812 GRADYHILL PL, MIDLOTHIAN, VA 23114-3362
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001286
VA
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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