Trae Anthony Phillips

NPI #1740974138 in Shawnee, Oklahoma

Provider Information

NPI Number
1740974138
Entity Type
Individual
Name
Trae Anthony Phillips
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Jun 7, 2023
Last Updated
Jun 7, 2023

Practice Location

Address
429 N UNION AVE
ZIP Code
74801-7064
Phone
(405) 275-1844

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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