Individual
MATTHEW O KNUDSVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1114 BALDWIN AVE, ANN ARBOR, MI 48104-3506
(734) 904-5985
Mailing address
1114 BALDWIN AVE, ANN ARBOR, MI 48104-3506
(734) 904-5985
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011572
MI
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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