Individual
LOLITA PATRICE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
2961 YARMOUTH GREENWAY DR STE 2, FITCHBURG, WI 53711-5809
(608) 218-5785
Mailing address
2961 YARMOUTH GREENWAY DR STE 2, FITCHBURG, WI 53711-5809
(608) 218-5785
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18482-130
WI
Other
Enumeration date
02/09/2018
Last updated
07/12/2021
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