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Individual
MR. SAMUEL COLE ANTHONY
Active
Individual
MR. SAMUEL COLE ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
086284
NY
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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