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1285265017
PAUL HEDG-PETH
MANASSAS, VA
NPI
1285265017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904008416)
Enumeration Date
2020-01-30
Last Update Date
2020-01-30
Business Address
PAUL HEDG-PETH LCSW
7611 COPPERMINE DR
MANASSAS, VA 20109-2668
Phone number: 703-496-7804
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Mailing Address
PAUL HEDG-PETH LCSW
3040 AVEMORE SQUARE PL
CHARLOTTESVILLE, VA 22911-7228
Phone number: 703-496-7804
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