Individual
MADALYN PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 1ST ST W, BEMIDJI, MN 56601-4002
(218) 888-8032
Mailing address
14 S MAIN ST STE 1E, ABERDEEN, SD 57401-4189
(605) 225-1010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
4792
MN
Other
Enumeration date
12/22/2021
Last updated
01/16/2025
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