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Roger Pederson, LCSW
NPI 1912906058 · on the registry since 2005
Practice
- Address
- 307 S Main St
Suite 305
Elkhart, IN 46516 - Phone
- (574) 523-3347
- Fax
- (574) 296-7560
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana