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Individual

LYNETTE K KNAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
230 E MARYDALE AVE, SOLDOTNA, AK 99669-7648
(907) 262-3119
(907) 262-7301
Mailing address
VA POLO ALTO HEALTH CARE SYSTEM MENLO PARK DIVISION, 795 WILLOW ROAD, MENLO PARK, CA 94025
(650) 493-5000
(650) 617-2624

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1179
AK
1041C0700X
Clinical Social Worker
6801069253
MI
1041C0700X
Clinical Social Worker
Primary
CSWS1179
AK

Other

Enumeration date
12/17/2007
Last updated
05/10/2021
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