Individual
ANTHONY D JEFFERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
119 W MARKET ST, COLUMBIA CITY, IN 46725-2311
(260) 248-8176
(260) 248-2366
Mailing address
850 N HARRISON ST, WARSAW, IN 46580-3163
(574) 267-7169
(574) 269-3995
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000284A
IN
Other
Enumeration date
02/01/2006
Last updated
07/08/2007
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