Individual
HAYLEY KNOWLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
702 SUNSET DR, ONTARIO, OR 97914-3121
(541) 889-9167
(541) 889-7873
Mailing address
8100 W EMERALD ST STE 150, BOISE, ID 83704-9057
(089) 086-3992
(866) 275-9883
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW37693
ID
Other
Enumeration date
07/17/2015
Last updated
08/04/2022
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