Knutzen, Laurie A.

Knutzen, Laurie A. is an individual health care provider with primary practice located at 40 Jewelers Park Dr Ste 100, Neenah WI 54956-3893. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Knutzen, Laurie A. can be contacted via phone (715) 281-1541.

Contact Information

Primary practice address
40 Jewelers Park Dr Ste 100 Neenah WI 54956-3893
Phone: (715) 281-1541
Fax: (920) 720-9980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 625123 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1205960077
LBN Legal business name Knutzen, Laurie A.
Credentials Master of Science in Social Work (MSSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated May 3rd, 2017 - about 7 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205960077 NPPES
Other 11810183 CAQH
MEDICAID 39256200 CAQH

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