Individual
DWIGHT PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7834 WILD EAGLE RD, SAN ANTONIO, TX 78255-1233
(726) 210-7246
Mailing address
7834 WILD EAGLE RD, SAN ANTONIO, TX 78255-1233
(726) 210-7246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
83779
TX
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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