CORDEL PHILLIP

LAFAYETTE, LA
NPI1700233806
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-05-18
Last Update Date2018-05-24
Business Address
CORDEL PHILLIP
850 KALISTE SALOOM RD SUITE 117
LAFAYETTE, LA 70508
Phone number: 337-234-7109
Mailing Address
CORDEL PHILLIP
850 KALISTE SALOOM RD SUITE 117
LAFAYETTE, LA 70508-4230
Phone number:
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