Provider Information for 1699476655
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Dr. KIMBERLI SHEA PHILLIPS PhD, LCSW, ACHP-SW
Other Names:Former Name:KIMBERLI MILLSSex: Female
NPI: 1699476655
Last Updated: 2023-03-15
Certification Date: 2023-03-15
Certification Date: 2023-03-15
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1699476655 | ||||||||
| Enumeration Date | 2023-03-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5211 SW 9TH AVE STE 100 AMARILLO, TX 79106-4197 United States Phone: 806-356-0026 | Fax:806-358-3114 | ||||||||
| Primary Practice Address | 5211 SW 9TH AVE STE 100 AMARILLO, TX 79106-4197 United States Phone: 806-356-0026 | Fax:806-358-3114 | ||||||||
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