Individual
MS. LAURIE A. KNUTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.S.W
Contact information
Practice address
40 JEWELERS PARK DR, STE 100, NEENAH, WI 54956-3893
(715) 281-1541
(920) 720-9980
Mailing address
40 JEWELERS PARK DR, STE 100, NEENAH, WI 54956-3893
(715) 281-1541
(920) 720-9980
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
625123
WI
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11810183
CAQH
—
05
—
39256200
—
WI
Enumeration date
03/15/2007
Last updated
05/03/2017
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