Individual
SARAH GRACE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
7107 W 12TH ST, LITTLE ROCK, AR 72204-2404
(501) 613-1837
Mailing address
7107 W 12TH ST, LITTLE ROCK, AR 72204-2404
(501) 613-1837
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A1204028
AR
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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