Maurice Lewis Anthony

NPI #1508514175 in Benton, Illinois

Provider Information

NPI Number: 1508514175
Entity Type: Individual
Name: Maurice Lewis Anthony
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 14, 2022
Last Updated: Mar 14, 2022

Practice Location

Address: 904 E MAIN ST
City: Benton
State: Illinois
ZIP Code: 62812-3030
Phone: (618) 937-6483

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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