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Individual

ANDREW D PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
4045 ORCHARD RD SE STE 110, SMYRNA, GA 30080-4904
(404) 693-5251
Mailing address
3633 LAKESHORE DR SW, SMYRNA, GA 30082-3038
(404) 693-5251

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001627
GA
106H00000X
Marriage & Family Therapist
106511
CA

Other

Enumeration date
08/17/2018
Last updated
08/17/2018
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