Individual
MARY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 E. GRAND RIVER AVE., HOWELL, MI 48843
(517) 546-4126
(517) 546-1300
Mailing address
2240 E. GRAND RIVER AVE., HOWELL, MI 48843
(517) 546-4126
(517) 546-1300
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
6801059086
MI
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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