Individual
GAIL JOHANNA GROGAN PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1355 SPENCER RD W, SAINT PAUL, MN 55108-5206
(651) 983-3743
Mailing address
1355 SPENCER RD W, SAINT PAUL, MN 55108-5206
(651) 983-3743
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13610
MN
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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