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Individual

ANNAMARIA ANTHONY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
603 HEMLOCK ST, STE 2E, BROOKINGS, OR 97415-9429
(541) 469-4347
Mailing address
PO BOX 1500, PMB 226, BROOKINGS, OR 97415-7152
(541) 469-4347

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
19998
CA
103T00000X
Psychologist
3044
OR

Other

Enumeration date
07/21/2009
Last updated
09/20/2019
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