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Individual

ANTHONE SOARES JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4044 CARTHAGE RD, RANDALLSTOWN, MD 21133-4428
(540) 642-9493
Mailing address
30 N GOULD ST STE R, SHERIDAN, WY 82801-6317

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
146D00000X
Personal Emergency Response Attendant
174200000X
Meals Provider
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
07/18/2025
Last updated
07/18/2025
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