Individual
AMANDA MARIE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 AMERICAN BLVD E, MINNEAPOLIS, MN 55425-1232
(651) 894-2308
Mailing address
1104 BOWDOIN ST, SAINT PAUL, MN 55116-1801
(651) 894-2308
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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