Pedersen, Marilyn Jean

Pedersen, Marilyn Jean is an individual health care provider with primary practice located at 645 3Rd Ave Sw , Pine City MN 55063-1468. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Pedersen, Marilyn Jean can be contacted via phone (320) 629-1362.

Contact Information

Primary practice address
645 3Rd Ave Sw Pine City MN 55063-1468
Phone: (320) 629-1362
Fax: (320) 629-3454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 300700 Minnesota

Profile Details

NPI number 1912297474
LBN Legal business name Pedersen, Marilyn Jean
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2011
Last updated Apr 18th, 2011 - about 14 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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