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Individual

LUCY PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BHRS

Contact information

Practice address
715 NTH 1ST, DURANT, OK 74701
(580) 931-3008
(580) 931-8022
Mailing address
631 VERNA LN, DENISON, TX 75020-4131
(903) 624-1695

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200049040F
OK
Enumeration date
05/03/2012
Last updated
05/03/2012
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