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Individual

MARY KONNESKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5416 SUTHERLAND AVE, SAINT LOUIS, MO 63109-1661
(618) 616-4202
Mailing address
5416 SUTHERLAND AVE, SAINT LOUIS, MO 63109-1661
(618) 616-4202

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149010196
IL
1041C0700X
Clinical Social Worker
Primary
2004010912
MO
1041C0700X
Clinical Social Worker
26724-C
AR

Other

Enumeration date
02/08/2023
Last updated
02/18/2025
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