Most Relevant Information
Provider Data
| NPI Number: | 1003576638 |
| Provider Name: | MADALYN PEDERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/22/2021 |
| Last Updated: | 12/22/2021 |
Provider Practice Location
14 S MAIN ST STE 1E
ABERDEEN
SD
574014189
Practice Location Phone/Fax
| Phone: | 6052251010 |
| Fax: |
Provider Mailing Location
14 S MAIN ST STE 1E
ABERDEEN
SD
574014189
Provider Mailing Phone/Fax
| Phone: | 6052251010 |
| Fax: |