Individual
JEFF KONCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, PLCSW
Contact information
Practice address
500 N 5TH ST, HOT SPRINGS, SD 57747-1480
(605) 745-2000
Mailing address
7175 DUNSMORE RD APT 248, RAPID CITY, SD 57702-4504
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-1148
WY
Other
Enumeration date
09/13/2022
Last updated
03/27/2024
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