Individual
MRS. ANGELA MARIE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, SAC-IT
Contact information
Practice address
8750 WESTERN RD, CEDARBURG, WI 53012
(262) 339-3018
Mailing address
8750 WESTERN RD, CEDARBURG, WI 53012-9003
(262) 339-3018
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6205-125
WI
Other
Enumeration date
04/09/2015
Last updated
09/21/2016
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