Organization
GWEN PEDERSEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN PEDERSEN MS, LMFT (MARRIAGE & FAMILY THERAPIST)
(320) 255-0343
Entity
Organization
Contact information
Practice address
600 25TH AVE S STE 109, SAINT CLOUD, MN 56301-4820
(320) 260-8313
(320) 654-0318
Mailing address
600 25TH AVE S STE 109, SAINT CLOUD, MN 56301-4820
(320) 260-8313
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
02/20/2024
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