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1003839010
MARK A ETSCHEIDT
LEXINGTON, KY
NPI
1003839010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: KY 783)
Enumeration Date
2006-07-25
Last Update Date
2008-04-14
Business Address
-- MARK A ETSCHEIDT PhD
740 S LIMESTONE
LEXINGTON, KY 40536-0001
Phone number: 859-323-5956
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Mailing Address
-- MARK A ETSCHEIDT PhD
2333 ALUMNI PARK PLZ SUITE 200
LEXINGTON, KY 40517-4012
Phone number: 859-257-7910
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