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Individual
MR. ROBERT EDWARD KONKEL
Active
Individual
MR. ROBERT EDWARD KONKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1022691
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028918
BMC HEALTHNET
MA
01
—
13266582
FIRST HEALTH
MA
05
—
1853937
—
MA
01
—
5350658
CCN
MA
01
—
6254470
UBH
MA
01
—
MBHP
1853937
MA
01
—
P06582
BCBS
MA
Enumeration date
01/08/2007
Last updated
06/05/2015
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