Individual
MS. DESTINY DOMINIQUE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
4201 W MEMORIAL RD APT 10112, OKLAHOMA CITY, OK 73134-1768
(405) 291-0131
Mailing address
4201 W MEMORIAL RD APT 10112, OKLAHOMA CITY, OK 73134-1768
(405) 291-0131
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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