Individual
ANTONIO HEDGEPETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14440 CHERRY LANE CT STE 208, LAUREL, MD 20707-4946
(301) 604-1458
(301) 604-1459
Mailing address
10202 TWISTED STALK CT, UPPER MARLBORO, MD 20772-4526
(202) 422-7096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
36676
MD
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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