Individual
EBONY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 MERRIFIELD CT, GAFFNEY, SC 29340-2780
(704) 466-1635
Mailing address
223 MERRIFIELD CT, GAFFNEY, SC 29340-2780
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/05/2010
Last updated
11/18/2010
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