Individual
MRS. JORDAN KONSEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-7768
Mailing address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-7768
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2023047239
MO
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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