Individual
EBONY A PHILLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
444 CENTER ST, MANCHESTER, CT 06040-3926
(860) 646-3888
(860) 731-5536
Mailing address
2 WATERSIDE XING STE 401, WINDSOR, CT 06095-1588
(860) 731-5522
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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