Individual
MRS. STEPHANIE G PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., J.D., LMFT
Contact information
Practice address
75 BISHOP ST, SUITE 16, PORTLAND, ME 04103-2614
(909) 374-1827
Mailing address
23 SUMMER PL, PORTLAND, ME 04103-4707
(909) 374-1827
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF3166
ME
106H00000X
Marriage & Family Therapist
MFC35186
CA
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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