Most Relevant Information
Provider Data
| NPI Number: | 1003322538 |
| Provider Name: | MARLY KAY BOROVICH KNUTSON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6801102053 |
Most Important Dates
| Enumeration Date: | 12/20/2017 |
| Last Updated: | 03/22/2024 |
Provider Practice Location
1005 S CAULKINS ST APT 3
PALMER
AK
996459183
Practice Location Phone/Fax
| Phone: | 6268847789 |
| Fax: |
Provider Mailing Location
PO BOX 3728
PALMER
AK
996453728
Provider Mailing Phone/Fax
| Phone: | 6268847789 |
| Fax: |