Individual
MIA G KNOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4110 AVENUE D, SCOTTSBLUFF, NE 69361-4650
(308) 632-4412
Mailing address
1815 BROADWAY ST, MITCHELL, NE 69357-1438
(308) 632-4412
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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