Individual
LAURA ANN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. -SLP
Contact information
Practice address
309 WESTSIDE LN NW, BROOKHAVEN, MS 39601-4533
(601) 757-9775
Mailing address
309 WESTSIDE LN NW, BROOKHAVEN, MS 39601-4533
(601) 757-9775
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
203637
MS
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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