PAUL PEDERSEN, LSW
Social Worker - Clinical
Active
Individual
NPI: 1609386168
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 149021530 (IL) |
Frequently Asked Questions
NPI 1609386168 is the National Provider Identifier for PAUL PEDERSEN, LSW, a Social Worker - Clinical provider located in Riverside, IL. This NPI was enumerated on October 10, 2017.
PAUL PEDERSEN, LSW practices at 105 E BURLINGTON ST, Riverside, IL 60546.
Quick Facts
- NPI
- 1609386168
- Type
- Individual
- Enumerated
- Oct 10, 2017
- Last Updated
- Aug 6, 2024
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