| Laura D Knopp, Llc | |
|
210 N Cascade St Ste 3 Fergus Falls MN 56537-2254 | |
| (952) 681-2983 | |
| (952) 679-7484 |
| Full Name | Laura D Knopp, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 210 N Cascade St Ste 3, Fergus Falls, Minnesota |
| Authorized Official Name and Position | Laura Diane Knopp (FOUNDER/CEO) |
| Authorized Official Contact | 9526812983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura D Knopp, Llc Po Box 694 Fergus Falls MN 56538-0694 Ph: (952) 681-2983 | Laura D Knopp, Llc 210 N Cascade St Ste 3 Fergus Falls MN 56537-2254 Ph: (952) 681-2983 |
| NPI Number | 1568978682 |
|---|---|
| Provider Enumeration Date | 12/27/2017 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Medicare PECOS PAC ID | 0749541357 |
|---|---|
| Medicare Enrollment ID | O20180222001267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568978682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13384 (Minnesota) | Primary |
| Provider Name | Laura D Knopp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437326634 PECOS PAC ID: 8729394143 Enrollment ID: I20150831003061 |
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