Individual
ERICA PATRESE ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 DEEP CREEK RD, BLYTHEWOOD, SC 29016-5702
(803) 206-2114
Mailing address
1245 DEEP CREEK RD, BLYTHEWOOD, SC 29016-5702
(803) 206-2114
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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