Individual
CHRISTINE M. PEDRETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
N7265 COLBO RD, BURLINGTON, WI 53105-2525
(414) 550-3920
Mailing address
N7265 COLBO RD, BURLINGTON, WI 53105-2525
(414) 550-3920
(608) 756-0174
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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