Individual
MS. CONSTANCE ANNE KONIKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
143 RIDGEWAY DR STE 207, LAFAYETTE, LA 70503-3532
(337) 258-6125
Mailing address
143 RIDGEWAY DR STE 207, LAFAYETTE, LA 70503-3532
(337) 258-6125
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2707
LA
Other
Enumeration date
01/13/2007
Last updated
12/13/2018
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