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Individual

JARED KONECNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
1934 W KENT RD, DULUTH, MN 55812-1154
(218) 730-8440
Mailing address
1934 W KENT RD, DULUTH, MN 55812-1154
(218) 730-8440

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29297
MN
1041C0700X
Clinical Social Worker
6801100595
MI

Other

Enumeration date
09/18/2018
Last updated
02/01/2021
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