Individual
REBECCA W PHILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 MACY DR, ROSWELL, GA 30076-6329
(678) 534-3824
Mailing address
102 MACY DR, ROSWELL, GA 30076-6329
(678) 534-3824
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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