Individual
MS. KERRILYN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP.D.
Contact information
Practice address
305 WISTERIA ST, RUSTON, LA 71272-0001
(318) 257-4765
Mailing address
133 WALES CLARK RD, WEST MONROE, LA 71291-8320
(318) 396-3818
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2197
LA
Other
Enumeration date
05/13/2007
Last updated
07/08/2007
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