Individual
YVONNE LYNN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 HORTON ST STE B, GRAYSON, KY 41143-1599
(304) 410-8857
Mailing address
308 HORTON ST STE B, GRAYSON, KY 41143-1599
(304) 412-1081
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
11/29/2022
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