Individual
KEELA MARIE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
230 PARK ST, WAUTOMA, WI 54982-9031
(920) 787-6550
(920) 787-0421
Mailing address
PO BOX 1230, WAUTOMA, WI 54982-1230
(920) 787-6550
(920) 787-0421
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131576-121
WI
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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