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Individual
MR. JOHNNY ANTHONY SR.
Active
Individual
MR. JOHNNY ANTHONY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5368G
AL
1041C0700X
Clinical Social Worker
5668G
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5368G
SOCIAL WORK
AL
Enumeration date
01/03/2022
Last updated
01/04/2022
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