Individual
MRS. GWEN KATRINA PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
600 25TH AVE S STE 109, SAINT CLOUD, MN 56301-4820
(320) 255-0343
(320) 654-0318
Mailing address
2025 STEARNS WAY STE 111, SAINT CLOUD, MN 56303-1275
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1156
MN
Other
Enumeration date
09/21/2006
Last updated
02/20/2024
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