Pedersen, Lisa Marie

Pedersen, Lisa Marie is an sole proprietor health care provider with primary practice located at 25825 Vermont Ave , Harbor City CA 90710-3518. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pedersen, Lisa Marie can be contacted via phone (424) 251-7791.

Contact Information

Primary practice address
25825 Vermont Ave Harbor City CA 90710-3518
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS17867 California

Profile Details

NPI number 1386857845
LBN Legal business name Pedersen, Lisa Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Dec 27th, 2021 - about 3 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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