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1811318520
LISA ANTHONY
JUPITER, FL
NPI
1811318520
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Professional Name
LISA MAULDING ANTHONY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 12065)
Enumeration Date
2013-12-23
Last Update Date
2013-12-23
Business Address
-- LISA ANTHONY
10897 SE HOBART ST
JUPITER, FL 33469-1671
Phone number: 561-201-8543
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Mailing Address
-- LISA ANTHONY
10897 SE HOBART ST
JUPITER, FL 33469-1671
Phone number: 561-201-8543
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