Individual
MRS. MARY ELIZABETH PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
611 W. DELMAR, ALTON, IL 62002
(618) 806-8822
(618) 589-2205
Mailing address
1906 SUMMERFIELD LN, GODFREY, IL 62035-1699
(618) 467-2928
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180-002722
IL
Other
Enumeration date
11/14/2006
Last updated
04/01/2014
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