Individual
KATHRYN PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1413 NW SANTA FE LN APT 103, SILVERDALE, WA 98383-7732
(360) 824-1882
Mailing address
1413 NW SANTA FE LN APT 103, SILVERDALE, WA 98383-7732
(360) 824-1882
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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