Individual
MS. STEFANIE KONCEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
816 BROAD ST STE 23, MERIDEN, CT 06450-4350
(203) 630-2488
Mailing address
816 BROAD ST STE 23, MERIDEN, CT 06450-4350
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/10/2013
Last updated
08/02/2013
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