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Individual

ANTHONY LAMONT HANSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1806 S 15TH ST, WILMINGTON, NC 28401-6479
(910) 772-2515
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 790-0187
(910) 790-0189

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P013498
NC

Other

Enumeration date
06/04/2019
Last updated
06/04/2019
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