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1215685219
SEAN RANDALL ANTHONY
PHILADELPHIA, PA
NPI
1215685219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: PA PC014246)
Enumeration Date
2022-03-17
Last Update Date
2022-03-17
Business Address
SEAN RANDALL ANTHONY M.M.H.S.; MSEd, LPC
601 W CLIVEDEN ST
PHILADELPHIA, PA 19119-3652
Phone number: 856-577-3860
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Mailing Address
SEAN RANDALL ANTHONY M.M.H.S.; MSEd, LPC
64 COACHLIGHT DR
SICKLERVILLE, NJ 08081-5608
Phone number: 215-607-7624
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