Individual
MRS. LONDA LENAE PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
7080 8TH AVE, CANNON BALL, ND 58528-9518
(701) 854-3341
Mailing address
1930 E CAPITOL AVE APT 311, BISMARCK, ND 58501-2385
(701) 720-2302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51338
—
ND
Enumeration date
01/22/2007
Last updated
07/08/2007
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