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Individual

MALLORY KATHLEEN PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4464 S DIXIE HWY, MIDDLETOWN, OH 45005
(513) 652-5695
Mailing address
4464 S DIXIE HWY, MIDDLETOWN, OH 45005-5464

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1801498
OH

Other

Enumeration date
09/13/2017
Last updated
09/24/2018
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