Individual
ALECIA G KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
926 S 8TH ST, MANITOWOC, WI 54220-4535
(920) 683-4230
(920) 683-4908
Mailing address
PO BOX 1177, MANITOWOC, WI 54221-1177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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