Individual
ASHLEY NICOLE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E NEWMAN AVE, HARRISON, AR 72601-5922
(479) 970-3399
Mailing address
500 EAST NEWMAN, HARRISON, AR 72601
(479) 970-3399
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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