Pedersen, Gwen Katrina

Pedersen, Gwen Katrina is an individual health care provider with primary practice located at 600 25Th Ave S Ste 109 , Saint Cloud MN 56301-4820. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Pedersen, Gwen Katrina can be contacted via phone (320) 255-0343.

Contact Information

Primary practice address
600 25Th Ave S Ste 109 Saint Cloud MN 56301-4820
Phone: (320) 255-0343
Fax: (320) 654-0318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1156 Minnesota

Profile Details

NPI number 1902905516
LBN Legal business name Pedersen, Gwen Katrina
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Feb 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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