Ruth A. Knutson BS LAC LSW
Full Name
Ruth A Knutson BS LAC LSW
NPI Number
1821141565
NPI Type
Individual Provider
Gender
Female
Enumeration Date
01/18/2007
Specialties
(Taxonomies)Code
101YA0400X
104100000X
Primary Taxonomy
No
No
Licenses
State
North Dakota
License Number
1519
Contact
Information
Purpose
Mailing
Location
Address
101 E BROADWAY AVE
101 E BROADWAY AVE
City
Bismarck
Bismarck
State
ND
ND
Postal Code
58501
58501
Country
US
US
Telephone Number
(701) 222-0386
(701) 222-0386
Identifiers
Identifier
25268
Identifier State
ND
Identifier Issuer
BCBS
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007