Individual
ALLAN PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 KIRKPATRICK RD, WINCHESTER, OH 45697-9745
(803) 673-2076
Mailing address
400 KIRKPATRICK RD, WINCHESTER, OH 45697-9745
(803) 673-2076
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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