Individual
JOYCE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12026 MASON DR, QUANTICO, VA 22134-2084
(703) 842-7984
Mailing address
12026 MASON DR, QUANTICO, VA 22134-2084
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4726
NC
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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