Individual
DANIELLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 E MAIN ST STE 1, MANKATO, MN 56001-3574
(507) 345-7012
(507) 388-6937
Mailing address
96 VALLEY LN APT 7, EAGLE LAKE, MN 56024-4612
(507) 508-9305
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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