Doctor Name: | ELAINE BROWN KNUDSEN |
NPI Number: | 1881629681 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 50056373501 |
Business Practice Address: | 445 N Main St Kanab, UT - 847413250 |
Business Phone Number: | 4356444520 |
Business Fax Number: | 4356444524 |
Mailing Address: | 474 W 200 N, ST GEORGE |
State: | UT |
Postal Code: | 847704505 |
Phone Number: | 4356345600 |
Fax Number: | 4359868702 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 04/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 50056373501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |