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1174261515
KELLY PEDERSEN
RIO RANCHO, NM
NPI
1174261515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM CTB-2022-0066)
Enumeration Date
2022-05-25
Last Update Date
2023-06-26
Business Address
KELLY PEDERSEN LMHC
184 UNSER BLVD NE
RIO RANCHO, NM 87124-4045
Phone number: 505-896-0928
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Mailing Address
KELLY PEDERSEN LMHC
9108 MANRESA DR NW
ALBUQUERQUE, NM 87114
Phone number:
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