Individual
BRANDI PHILIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1026 W ABRIENDO AVE, PUEBLO, CO 81004-1128
(719) 562-3222
(719) 545-4100
Mailing address
2003 E 4TH ST, PUEBLO, CO 81001-4150
(719) 562-3222
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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