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Individual

MRS. NANCY L. PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA., LLPC

Contact information

Practice address
1692 S NEWMAN RD, LAKE ORION, MI 48362-2247
(248) 814-0606
Mailing address
1692 S NEWMAN RD, LAKE ORION, MI 48362-2247
(248) 814-0606

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401011714
MI

Other

Enumeration date
04/30/2010
Last updated
04/30/2010
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