Individual
ANGELA L KONIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
245C NASSAU ST, PRINCETON, NJ 08540-4619
(609) 477-0401
Mailing address
C7 CARVER PL, LAWRENCEVILLE, NJ 08648-1419
(609) 477-0401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL06789100
NJ
225700000X
Massage Therapist
18KT01360200
NJ
Other
Enumeration date
06/20/2010
Last updated
09/22/2022
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