Individual
MRS. MARLY KAY BOROVICH KNUTSON
Active
Individual
MRS. MARLY KAY BOROVICH KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
176973
AK
1041C0700X
Clinical Social Worker
6801102053
MI
1041C0700X
Clinical Social Worker
LCSW-5243
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801102053
LLMSW
MI
Enumeration date
12/20/2017
Last updated
02/03/2025
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