Individual
TRACY PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 ATWOOD AVE, MADISON, WI 53704-5324
(608) 244-4859
Mailing address
865 WILLOW BROOK TRL, SUN PRAIRIE, WI 53590-3454
(608) 318-0086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8875-123
WI
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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