Individual
MR. THOMAS A PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
20 ACADEMY ST, WINDSOR, NY 13865-4322
(607) 655-4040
Mailing address
20 ACADEMY ST, WINDSOR, NY 13865-4322
(607) 655-4040
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000153
NY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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