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Individual

TIFFANY ALRED PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
302 S SPRING ST, TUPELO, MS 38804-4853
(662) 841-8020
Mailing address
1325 S THOMAS ST, TUPELO, MS 38801-7220
(662) 687-0833

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2058
MS

Other

Enumeration date
02/15/2016
Last updated
02/15/2016
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