Individual
JESSICA LURA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW/QMHP
Contact information
Practice address
1230 PEARL ST, AURORA, IL 60505-4519
(630) 966-4493
Mailing address
1230 PEARL ST, AURORA, IL 60505-4519
(630) 966-4493
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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