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Individual

MS. ANN R. PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1401 W 2ND ST, GILLETTE, WY 82716-3333
(307) 682-6699
(307) 687-7243
Mailing address
PO BOX 3883, GILLETTE, WY 82717-3883
(307) 682-6699
(307) 687-7243

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1150
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPC-1150
WYOMING LICENSE NUMBER
WY
Enumeration date
06/03/2011
Last updated
06/03/2011
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