Individual
MARY R PEDERSON
Active
Individual
MARY R PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61052785
WA
104100000X
Social Worker
SWI.LW.70056120
WA
1041C0700X
Clinical Social Worker
Primary
SWI.LW.70056120
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2020
Last updated
08/01/2026
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