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Individual
JASON LEE ANTHONY
Active
Individual
JASON LEE ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ASW106094
CA
104100000X
Social Worker
Primary
SW141008
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ASW106094
CA BBS
CA
Enumeration date
09/09/2020
Last updated
03/07/2024
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