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Individual

ELAINE BROWN KNUDSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
445 N MAIN ST, KANAB, UT 84741-3250
(435) 644-4520
(435) 644-4524
Mailing address
474 W 200 N, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8702

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50056373501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107046494101
SELECT HEALTH
UT
01
942938348EKN
EDUCATORS MUTUAL
UT
Enumeration date
07/11/2006
Last updated
04/03/2013
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