Individual
RACQUEL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1792 FALLS BLVD N STE 15, WYNNE, AR 72396-4092
(870) 208-9333
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12165-M
AR
Other
Enumeration date
01/15/2021
Last updated
01/19/2024
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