Individual
KAYLEE GALE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2466 HANGING LIMB HWY, MONTEREY, TN 38574-5469
(931) 319-5816
Mailing address
2466 HANGING LIMB HWY, MONTEREY, TN 38574-5469
(931) 319-5816
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-335999
TN
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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