Individual
RILEY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
541 MAIN ST STE 303, SOUTH WEYMOUTH, MA 02190-1845
(781) 331-7866
Mailing address
23 LANARK RD, BOSTON, MA 02135-7878
(607) 765-2905
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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