Female

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

Provider Address