Individual
ANDREA MARIE KOENIGSHOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8765 GRAND RIVER AVE, CLARKSVILLE, MI 48815-9717
(616) 822-2793
Mailing address
8765 GRAND RIVER AVE, CLARKSVILLE, MI 48815-9717
(616) 822-2793
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801092287
MI
Other
Enumeration date
05/13/2012
Last updated
05/13/2012
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