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1912906058
ROGER A PEDERSON
ELKHART, IN
NPI
1912906058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: IN 34001185A)
Enumeration Date
2005-07-20
Last Update Date
2007-07-08
Business Address
Mr. ROGER A PEDERSON LCSW
307 S MAIN ST SUITE 305
ELKHART, IN 46516-3102
Phone number: 574-523-3347
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Mailing Address
Mr. ROGER A PEDERSON LCSW
307 S MAIN ST SUITE 305
ELKHART, IN 46516-3102
Phone number: 574-523-3347
Copy
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