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Individual

MISS ANDREA C PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REG INTERN # 63262

Contact information

Practice address
3737 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-3513
(310) 691-0793
(310) 631-5918
Mailing address
3737 MARTIN LUTHER KING BLVD, LYNWOOD, CA 90262
(310) 691-0793
(310) 631-5918

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
63262
CA

Other

Enumeration date
08/02/2010
Last updated
08/02/2010
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