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Individual
CARRIE KONIECZKI
Active
Individual
CARRIE KONIECZKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.015162
IL
Other
Enumeration date
09/10/2019
Last updated
06/21/2021
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