Individual
BRE ANNA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 WEBSTER ST, DAYTON, OH 45404-1556
(937) 463-2955
Mailing address
1110 WEBSTER ST, DAYTON, OH 45404-1556
(937) 463-2955
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.1700174
OH
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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