Individual
COLLEEN KONCILJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
850 W BARTLETT RD STE 14C, BARTLETT, IL 60103-4454
(630) 864-7267
(630) 596-0743
Mailing address
850 W BARTLETT RD STE 14C, BARTLETT, IL 60103-4454
(603) 864-7267
(630) 596-0743
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149008267
IL
Other
Enumeration date
03/04/2010
Last updated
01/19/2020
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