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Individual

DR. LAURA S ANTHONY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
110 TRADERS CROSS, # 123, OKATIE, SC 29909-4637
(954) 885-9500
Mailing address
143 BEVERLY DR, EASLEY, SC 29640-2221
(864) 238-4107
(864) 751-5743

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1179
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PS0509
SC
Enumeration date
04/28/2011
Last updated
07/03/2023
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