Individual
JENNIFER LEEANN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3358 S 2ND ST, CABOT, AR 72023-7873
(501) 286-6053
(501) 286-6090
Mailing address
340 PINTAR LN, WARD, AR 72176-8551
(501) 605-7617
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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