Individual
ROSA HAYDEE KNOWLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3320 PETERSON RD STE 104, LAWRENCE, KS 66049-1739
(785) 371-1414
Mailing address
3320 PETERSON RD STE 104, LAWRENCE, KS 66049-1739
(785) 371-1414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16054
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11098
SOCIAL WORK
KS
01
—
11098
SOCIAL WORK
—
Enumeration date
12/05/2020
Last updated
12/23/2024
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