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MARILYN K EDDY-SIPEREK LMHC

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1962605295

Individual Registrant:
 MARILYN K EDDY-SIPEREK LMHC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
97 MAIN ST  SALAMANCA, NY 14779-1529 US
Tel: 716-945-5211  Fax: 716-945-5267

Contact information for business:
4598 WHALEN RD  GREAT VALLEY, NY 14741-9737 US
Tel: --  Fax: --

Registration Information:
NPI: 1962605295
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor
NY000160-1

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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