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Individual

MARISA PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LMFT

Contact information

Practice address
309 W SPRUCE ST, RAWLINS, WY 82301-5545
(307) 417-0436
Mailing address
2222 CUTTY SARK BLVD, RAWLINS, WY 82301-4227
(307) 349-5627

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
301
WY
106H00000X
Marriage & Family Therapist
Primary
307
WY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
12/11/2020
Last updated
11/04/2025
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