Individual
NICOLE LEE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 E WABASH ST, FRANKFORT, IN 46041-9429
(765) 654-5585
Mailing address
2400 E WABASH ST, FRANKFORT, IN 46041-9429
(765) 654-5585
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10205813
IN
Other
Enumeration date
08/29/2022
Last updated
10/08/2024
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