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Individual

DR. NICHOLAS ALFRED PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LLMFT

Contact information

Practice address
29887 W 11 MILE RD, FARMINGTON HILLS, MI 48336-1309
(248) 474-4701
(248) 474-1518
Mailing address
45596 HOLMES DR, CANTON, MI 48187-1613
(734) 451-9451

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006305
MI

Other

Enumeration date
04/23/2007
Last updated
07/08/2007
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