Organization
CROSSWALK COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN PEDERSEN LISW, MSW, MAPC (SOLE PROPRIETOR)
(319) 230-8018
Entity
Organization
Contact information
Practice address
2550 MIDDLE ROAD, SUITE 300, BETTENDORF, IA 52722-3287
(319) 230-8018
(563) 445-2308
Mailing address
2550 MIDDLE ROAD, SUITE 300, BETTENDORF, IA 52722-3287
(319) 230-8018
(563) 445-2308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007084
IA
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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