Individual
MS. SHANNON PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(774) 213-8337
Mailing address
10 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(774) 213-8337
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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