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NPI Code Detail

MEDICARE: MRS. CHERYL MARIE KNUDSEN MSW

MEDICARE: MRS. CHERYL MARIE KNUDSEN MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1821161670
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHERYL MARIE KNUDSEN MSW
Provider Business Mailing Address
First Line : 2258 BRADBURN DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95835-2165
Country : US
Telephone Number : 916-346-5458
Fax Number :
Provider Business Practice Location Address
First Line : 3160 FOLSOM BLVD STE 2100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-5266
Country : US
Telephone Number : 916-734-3588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 01/24/2024

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