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Contact Information

MARK R HEDGEPETH, LCSW R
58 B MILTON ST
GENEVA, NY14456
 Phone: 315-789-8291
 Fax: 315-789-8291
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARK R HEDGEPETH · (Male)

NPI # 1003983347
Status Active
Credentials LCSW R
Entity Individual
Enumeration date 11/30/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # R0401701
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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