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1518204395
JEFFREY KOENIGSBERG
LAS VEGAS, NM
NPI
1518204395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM 1-08119)
Enumeration Date
2013-01-14
Last Update Date
2013-01-14
Business Address
-- JEFFREY KOENIGSBERG LISW
813 THRUPPS ST
LAS VEGAS, NM 87701-3493
Phone number: 505-670-7172
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Mailing Address
-- JEFFREY KOENIGSBERG LISW
813 THRUPPS ST
LAS VEGAS, NM 87701-3493
Phone number: 505-670-7172
Copy
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