Judith R Phillips
Counselor, Professional in Simpsonville, SC. Individual provider (NPI-1).
NPI number1639218118
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1639218118
- Entity type
- Individual (NPI-1)
- Name
- Judith R Phillips
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 1634 | SC | Yes |
Practice location
20 Powderhorn RdSimpsonville, SC 29681-3399
Phone 864-963-3421 · Fax 864-962-0758
Mailing address
20 Powderhorn RdSimpsonville, SC 29681-3399
Phone 864-963-3421 · Fax 864-962-0758
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