Individual
ARDENESIA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 DUNBAR CAVE RD STE A&B, CLARKSVILLE, TN 37043-8862
(985) 634-0615
Mailing address
120 DUNBAR CAVE RD STE A&B, CLARKSVILLE, TN 37043-8862
(985) 634-0615
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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