Individual
KATE A. PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1400 N MERIDIAN ST, INDIANAPOLIS, IN 46202-2305
(317) 252-5518
(317) 261-3375
Mailing address
7700 N MERIDIAN ST, INDIANAPOLIS, IN 46260-3652
(317) 762-5283
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007518A
IN
Other
Enumeration date
04/13/2016
Last updated
05/11/2016
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