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1750116620
ANTHONY JAMES ERVIN
SURPRISE, AZ
NPI
1750116620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC20742)
Enumeration Date
2024-09-03
Last Update Date
2024-09-03
Business Address
ANTHONY JAMES ERVIN
14800 W MOUNTAIN VIEW BLVD STE 210
SURPRISE, AZ 85374-2703
Phone number: 623-202-2521
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Mailing Address
ANTHONY JAMES ERVIN
8836 N 65TH DR
GLENDALE, AZ 85302-4386
Phone number: 602-301-9927
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