Individual
DANA STACEY KONIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
83 IVY RD, FREEHOLD, NJ 07728-3032
(732) 462-9447
Mailing address
83 IVY RD, FREEHOLD, NJ 07728-3032
(732) 462-9447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00270100
NJ
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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