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1013447762
KAITLYN KONIUSZY
EDWARDSVILLE, IL
NPI
1013447762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 149018985)
Enumeration Date
2017-06-15
Last Update Date
2022-07-21
Business Address
KAITLYN KONIUSZY LCSW
40B EDWARDSVILLE PROF PARK
EDWARDSVILLE, IL 62025-3602
Phone number: 618-248-2040
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Mailing Address
KAITLYN KONIUSZY LCSW
PO BOX 101
EDWARDSVILLE, IL 62025-0101
Phone number: 618-248-2040
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