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Individual
SERENA FAITH KONKIN
Active
Individual
SERENA FAITH KONKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
118113
CA
106H00000X
Marriage & Family Therapist
Primary
MG60479640
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
09/19/2012
Last updated
05/12/2021
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