Individual
DOROTHY MARIE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
919 MITCHELL AVE, CHINA GROVE, NC 28023-7418
(330) 704-8591
Mailing address
919 MITCHELL AVE, CHINA GROVE, NC 28023-7418
(330) 506-5252
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
164W00000X
Licensed Practical Nurse
Primary
76732
NC
Other
Enumeration date
03/02/2022
Last updated
12/09/2022
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