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1174033518
KRISTA PEDERSON
WEST DES MOINES, IA
NPI
1174033518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 16028)
Enumeration Date
2017-10-11
Last Update Date
2017-10-11
Business Address
KRISTA PEDERSON CADC
1211 VINE ST
WEST DES MOINES, IA 50265-4472
Phone number: 515-414-8059
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Mailing Address
KRISTA PEDERSON CADC
1211 VINE ST
WEST DES MOINES, IA 50265-4472
Phone number: 515-414-8059
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