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Individual
LISA RENE ANTHONY
Active
Individual
LISA RENE ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C008335
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013281880
—
NC
01
—
1829T
BCBS
NC
Enumeration date
02/27/2012
Last updated
07/21/2022
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