MARTIN D PHILLIPS

STEPHENVILLE, TX
NPI1972734960
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  Intern)
Enumeration Date2009-08-07
Last Update Date2009-08-07
Business Address
-- MARTIN D PHILLIPS LCDC Intern
239 S VIRGINIA ST
STEPHENVILLE, TX 76401-4344
Phone number: 254-965-5515
Mailing Address
-- MARTIN D PHILLIPS LCDC Intern
118 W HEARD ST
CLEBURNE, TX 76033-3836
Phone number: 817-645-5517
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