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1649801358
MITRA S PEDRAM
SPRINGFIELD, MO
NPI
1649801358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2022007696)
Enumeration Date
2020-01-31
Last Update Date
2024-03-25
Business Address
MITRA S PEDRAM MSW, LCSW
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804-4264
Phone number: 417-761-5000
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Mailing Address
MITRA S PEDRAM MSW, LCSW
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804-4264
Phone number: 417-761-5000
Copy
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