Individual
MARCIA KAY KNUTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 S FREMONT ST, JANESVILLE, WI 53545-2663
(608) 728-4358
Mailing address
60 S FREMONT ST, JANESVILLE, WI 53545-2663
(608) 728-4358
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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