Individual
BRANDON PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3921 INDEPENDENCE DR STE 104, ALEXANDRIA, LA 71303
(318) 542-4288
Mailing address
3921 INDEPENDENCE DR STE 104, ALEXANDRIA, LA 71303-3566
(318) 542-4288
(318) 704-6201
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/05/2018
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