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1114007259
PAMELA MAE PEDERSEN
YORK, NE
NPI
1114007259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE 326)
Enumeration Date
2006-10-16
Last Update Date
2007-08-20
Business Address
Mrs. PAMELA MAE PEDERSEN LADC
722 S LINCOLN AVE SUITE 1
YORK, NE 68467-4216
Phone number: 402-362-6128
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Mailing Address
Mrs. PAMELA MAE PEDERSEN LADC
71 KUESTER LAKE
GRAND ISLAND, NE 68801
Phone number: 308-382-5356
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