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Individual

MR. ANTHONY HAMPTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
9 WHETSTONE CREEK CT, IRMO, SC 29063-7848
(803) 466-4496
(803) 563-5345
Mailing address
9 WHETSTONE CREEK CT, IRMO, SC 29063-7848
(803) 466-4496
(803) 563-5345

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10251
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SC
BLUE CROSS BLUE SHIELD
SC
Enumeration date
02/15/2013
Last updated
02/15/2013
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