Individual
MORGAN L. KONISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 FODEN RD, SOUTH PORTLAND, ME 04106-2327
(207) 874-1489
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
(207) 828-0361
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC22090
ME
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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