Individual
HANNAH MARIE PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 37TH AVE S, MOORHEAD, MN 56560-5524
(701) 451-7811
(651) 925-0057
Mailing address
PO BOX 9859, FARGO, ND 58106-9859
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
02004
MN
101YP2500X
Professional Counselor
Primary
2359
MN
Other
Enumeration date
05/15/2017
Last updated
01/16/2020
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