Individual
ELLIE BLAIR KONIECZNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
318 W FLETCHER ST, ALPENA, MI 49707-2306
(989) 356-2161
Mailing address
3090 STINSON RD, HERRON, MI 49744-9620
(989) 255-0569
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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