Individual
LORI ANN PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2435 KIMBERLY RD, SUITE 155, BETTENDORF, IA 52722-3509
(563) 359-7625
(563) 459-0494
Mailing address
4102 18TH ST, BETTENDORF, IA 52722-2123
(563) 359-7625
(563) 459-0494
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007084
IA
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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