Individual
AMBER HOPE KNUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
640 BREVARD AVE STE 104, COCOA, FL 32922-7849
(317) 488-8459
Mailing address
5727 DUSKY RUN, PATRICK AFB, FL 32925-2920
(317) 488-8459
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346353067
—
FL
Enumeration date
05/22/2019
Last updated
05/22/2019
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