MR. Roger A Pederson, LCSW

NPI #1912906058 in Elkhart, Indiana

Provider Information

NPI Number: 1912906058
Entity Type: Individual
Name: MR. Roger A Pederson, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LCSW
Enumeration Date: Jul 20, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 307 S MAIN ST
Address 2: SUITE 305
City: Elkhart
State: Indiana
ZIP Code: 46516-3102
Phone: (574) 523-3347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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