Shanquita Shantrelle Phillips, AT

NPI #1083841050 in Marion, Arkansas

Provider Information

NPI Number: 1083841050
Entity Type: Individual
Name: Shanquita Shantrelle Phillips, AT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: AT
Enumeration Date: Jun 17, 2009
Last Updated: Jun 17, 2009

Practice Location

Address: 2688 STATE HIGHWAY 77 S
City: Marion
State: Arkansas
ZIP Code: 72364-2373
Phone: (870) 739-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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