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1558587816
T M PEDERSON
SALT LAKE CITY, UT
NPI
1558587816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 1313843501)
Enumeration Date
2007-04-17
Last Update Date
2008-07-14
Business Address
-- T M PEDERSON LCSW
24 SOUTH 600 EAST SUITE 5
SALT LAKE CITY, UT 84102
Phone number: 801-521-7646
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Mailing Address
-- T M PEDERSON LCSW
580 10TH AVENUE
SALT LAKE CITY, UT 84102
Phone number: 801-539-1747
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