Doctor Name: | MRS. LAURIE JO KNOWLTON |
NPI Number: | 1457458341 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW-S, SAP |
License Number: | I10196 |
Business Practice Address: | 20939 Lorain Rd Suite 8 Fairview Park, OH - 441262022 |
Business Phone Number: | 4402133623 |
Business Fax Number: | 4403312052 |
Mailing Address: | 20939 Lorain Rd, Suite 8 FAIRVIEW PARK |
State: | OH |
Postal Code: | 441262022 |
Phone Number: | 4402133623 |
Fax Number: | 4403312052 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 05/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I10196 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |