Individual
MISS SHENEIAH PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 WINDRIM AVE, PHILADELPHIA, PA 19141-2710
(215) 456-2727
Mailing address
1315 WINDRIM AVE, PHILADELPHIA, PA 19141-2710
(215) 456-2727
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232686276
WES HEALTH SYSTEM
PA
Enumeration date
06/08/2009
Last updated
06/08/2009
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