Individual
KATHLEEN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5 LANE LN, SHERIDAN, WY 82801-8630
(307) 674-6878
Mailing address
5 LANE LN, SHERIDAN, WY 82801-8630
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201
WY
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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