Individual
MRS. JUDITH IRENE PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
430 S ANDREW DR NE, NEW LONDON, MN 56273
(320) 354-2152
Mailing address
430 S ANDREW DR NE, NEW LONDON, MN 56273-9579
(320) 354-2152
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1022
MN
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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