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Individual

ANN MOOK PEDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSW

Contact information

Practice address
1030 MONARCH ST STE 100, LEXINGTON, KY 40513-1820
(216) 468-5000
(216) 456-8128
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(216) 468-5000
(216) 456-8128

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
KY
1041C0700X
Clinical Social Worker
Primary
256492
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790731081
KY
Enumeration date
09/24/2019
Last updated
07/06/2026
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