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Individual

REBECCA HEGWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-I

Contact information

Practice address
2105 COMMERCE DR, CAYCE, SC 29033-1524
(803) 796-0353
Mailing address
1792 S LAKE DR, STE. 90, PMB 105, LEXINGTON, SC 29073-6824
(803) 580-0958

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043534191
SC
Enumeration date
01/19/2017
Last updated
01/19/2017
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