Individual
ANTHONY WAYNE LEMASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
61899 M 43, BANGOR, MI 49013-9621
(269) 427-5671
Mailing address
1095 MOUNT ROYAL DR APT 3A, KALAMAZOO, MI 49009-1532
(906) 286-9204
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6852093392
MI
Other
Enumeration date
08/06/2022
Last updated
08/06/2022
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