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Organization
RI MENTAL HEALTH
Active
Organization
RI MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL A PEDERSEN LICSW (PSYCHOTHERAPIST)
(917) 913-3999
Entity
Organization
Contact information
Practice address
25 EAST AVENUE, MARION, MA 02738
(917) 913-3999
(508) 355-2596
Mailing address
25 EAST AVENUE, MARION, MA 02738
(917) 913-3999
(508) 355-2596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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