Individual
MARY PEDTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 BENTEE WES COURT, EVANSVILLE, IN 47715
(812) 401-1836
(812) 401-8013
Mailing address
4114 CROMWELL DR, EVANSVILLE, IN 47725-7487
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004163A
IN
Other
Enumeration date
08/02/2011
Last updated
10/23/2023
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