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Individual

CHRISTINE M. PEDRETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
624123
WI
1041C0700X
Clinical Social Worker
Primary
624-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1699885103
BCBSWI
WI
05
1699885103
WI
05
39662000
WI
01
849080029
WI MEDICARE
WI
01
PEDRECHR
MERCYCARE INSURANCE
WI
Enumeration date
08/30/2006
Last updated
10/17/2024
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