Individual
JILLIAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
522 MILL RD, CLARKSVILLE, AR 72830-8511
(501) 303-3105
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 303-3105
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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