Individual
MS. JANIS M PEDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20 5TH AVE, LAUREL, MT 59044-2913
(307) 272-5881
Mailing address
#20 5TH AVENUE, LAUREL, MT 59044-9299
(307) 272-5881
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
935
MT
1041C0700X
Clinical Social Worker
LCSW-524
WY
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104064195
—
MT
Enumeration date
01/28/2009
Last updated
08/16/2017
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