Individual
MAUREEN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5935 DEL LAGO CIR APT 304, SUNRISE, FL 33313-6301
(954) 549-5103
Mailing address
5935 DEL LAGO CIR APT 304, SUNRISE, FL 33313-6301
(954) 549-5103
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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