Individual
ANNA DEBORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 W MAIN ST, JEFFERSON, NC 28640-9723
(336) 246-4542
Mailing address
284 EXECUTIVE PARK DR., SUITE 100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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