Individual
SHANNON PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 N MADISON ST, CORINTH, MS 38834-5072
(662) 286-9060
Mailing address
10 COUNTY ROAD 617, CORINTH, MS 38834-1131
(731) 610-1568
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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