Individual
MRS. JACQUELINE EUGENIA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER'S DEGREE
Contact information
Practice address
506 JEFFESON STREET, TAZEWELL, VA 24651
(276) 988-5511
Mailing address
506 JEFFESON STREET, TAZEWELL, VA 24651
(276) 988-5511
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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