| NPI | 1760892087 |
|---|---|
| Professional Name | PHYLISS KILPATRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12493) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 36094) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |