Individual
VERONICA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2924 KNIGHT ST STE 318, SHREVEPORT, LA 71105-2413
(318) 834-4700
Mailing address
2924 KNIGHT ST STE 318, SHREVEPORT, LA 71105-2413
(318) 834-4700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13441
LA
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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