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Individual

SHIRA KOENIGSBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5887 GLENRIDGE DR STE 230, SANDY SPRINGS, GA 30328-9929
(845) 663-1683
Mailing address
1719 BRIARVISTA WAY NE, ATLANTA, GA 30329-3640
(347) 563-8783

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
086323
NY
1041C0700X
Clinical Social Worker
Primary
CSW006922
GA

Other

Enumeration date
08/07/2012
Last updated
01/24/2020
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