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1275025512
ANTHONY DER
COLUMBIA, MD
NPI
1275025512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LC8466)
Enumeration Date
2018-06-02
Last Update Date
2018-06-02
Business Address
ANTHONY DER LCPC
10705 CHARTER DR STE 410
COLUMBIA, MD 21044-2800
Phone number: 443-718-0385
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Mailing Address
ANTHONY DER LCPC
6611 CAMBRIA TER
ELKRIDGE, MD 21075-5952
Phone number: 443-718-0385
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