Individual
CONSTANCE GENEVA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 FRIENDSHIP CIR STE 300, CUMMING, GA 30028-6920
(225) 328-4468
Mailing address
3748 MARS HILL RD, CUMMING, GA 30040-8049
(762) 230-3757
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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