Search › Wisconsin › 104100000X
Keela Phillips, APSW
NPI 1780238956 · on the registry since 2019
Practice
- Address
- 230 Park St
Wautoma, WI 54982 - Phone
- (920) 787-6550
- Fax
- (920) 787-0421
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin