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Individual

MS. ANITA LOUISE RINGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
255 S 17TH ST, SUITE 1405, PHILADELPHIA, PA 19103-6231
(215) 732-6308
(215) 732-8240
Mailing address
530 WAYNE DR APT 320, KING OF PRUSSIA, PA 19406-4122
(610) 937-7085
(215) 732-8240

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CW016399
PA
1041C0700X
Clinical Social Worker
Primary
LC2773
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104000000
ME
Enumeration date
10/04/2006
Last updated
11/17/2009
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