Individual
MR. WESLEY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
317 S CHESTER ST, GASTONIA, NC 28052-3803
(704) 864-5816
Mailing address
524 W 3RD AVE, GASTONIA, NC 28052-3810
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1488
NC
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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