Individual
ANTHONY AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
5900 HOHMAN AVE, HAMMOND, IN 46320-2423
(219) 931-0427
Mailing address
5900 HOHMAN AVE, HAMMOND, IN 46320-2423
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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