Individual
ALICE KONIECZNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 HOLLISTER AVE, SANTA BARBARA, CA 93110-1710
(805) 692-4820
Mailing address
4500 HOLLISTER AVE, SANTA BARBARA, CA 93110-1710
(805) 692-4820
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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