Individual
LAURA ELIZABETH PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 WALL ST STE A, POTEAU, OK 74953-4400
(918) 649-0018
(918) 564-2744
Mailing address
35896 WILDHORSE RD, WISTER, OK 74966-2770
(918) 647-6849
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/25/2021
Last updated
02/20/2024
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