Individual
DORETHA THOMAS ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 S CENTENNIAL ST, HIGH POINT, NC 27260-5215
(336) 899-1541
(336) 899-1511
Mailing address
211 S CENTENNIAL ST, HIGH POINT, NC 27260-5215
(336) 899-1541
(336) 899-1511
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
58-1863838
NC
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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