Tracy Nicole Phillip

NPI #1346584018 in Owasso, Oklahoma

Provider Information

NPI Number: 1346584018
Entity Type: Individual
Name: Tracy Nicole Phillip
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Nov 19, 2012
Last Updated: Nov 19, 2012

Practice Location

Address: 9800 E 110TH ST N
City: Owasso
State: Oklahoma
ZIP Code: 74055-6666
Phone: (918) 810-2428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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