Knutson, Marly Kay Borovich
Knutson, Marly Kay Borovich is an individual health care provider with primary practice located at 1005 S Caulkins St Apt 3 , Palmer AK 99645-9183. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Knutson, Marly Kay Borovich can be contacted via phone (626) 884-7789.Contact Information
Primary practice address
1005 S Caulkins St Apt 3
Palmer AK 99645-9183
Phone: (626) 884-7789
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801102053 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 176973 | Alaska |
Profile Details
| NPI number | 1003322538 |
|---|---|
| LBN Legal business name | Knutson, Marly Kay Borovich |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2017 |
| Last updated | Mar 22nd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003322538 | NPPES |
| Michigan | Other | 6801102053 | LLMSW |
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