Individual
CAROLANN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 DUKE ST, MATTAPAN, MA 02126-3150
(617) 480-5991
Mailing address
3 DUKE ST, MATTAPAN, MA 02126-3150
(617) 480-5991
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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