Individual
MARVYN L HEGMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
238 SUMMAR DR, JACKSON, TN 38301-3906
(731) 935-8200
(731) 935-8327
Mailing address
1804 HIGHWAY 45 BYP, STE 604, JACKSON, TN 38305-4436
(731) 660-8755
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1022
TN
1041C0700X
Clinical Social Worker
Primary
1022
TN
Other
Enumeration date
06/18/2006
Last updated
05/10/2012
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