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Individual

MARILYN K EDDY-SIPEREK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
97 MAIN ST, SALAMANCA, NY 14779-1529
(716) 945-5211
(716) 945-5267
Mailing address
4598 WHALEN RD, GREAT VALLEY, NY 14741-9737

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000160-1
NY

Other

Enumeration date
06/06/2007
Last updated
07/08/2007
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