Individual
SALLY M KNUDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
114 E 6TH ST, LEXINGTON, NE 68850-1905
(308) 324-1970
Mailing address
114 E 6TH ST, LEXINGTON, NE 68850-1905
(308) 324-1970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8208
NE
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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