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KEISHA ANTHONY

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1154687705

Individual Registrant:
 KEISHA  ANTHONY 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2620 INDUSTRY WAY STE F  LYNWOOD, CA 90262-4042 US
Tel: 310-603-1098  Fax: --

Contact information for business:
2620 INDUSTRY WAY STE F  LYNWOOD, CA 90262-4042 US
Tel: 310-603-1098  Fax: --

Registration Information:
NPI: 1154687705
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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