# MS. NANCY KNUDSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1457400012
- **Gender:** F
- **Credential:** LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 73 | MA | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 90809844 | UBH ONLINE ID | MA |
| 01 | — | W05904 | BLUE CROSS BLUE SHIELD | MA |