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Individual
MRS. LISA DIANE KONECNY
Active
Individual
MRS. LISA DIANE KONECNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
15314
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144336803
—
TX
Enumeration date
05/29/2009
Last updated
05/29/2009
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