Individual
ERICA LYN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1033 LARCHWOOD RD, MANSFIELD, OH 44907-2424
(216) 924-0531
(419) 747-4126
Mailing address
425 SHEPARD RD, MANSFIELD, OH 44907-1129
(567) 274-7383
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OH
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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