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1629776752
ALYSIA KONKOL
MISHAWAKA, IN
NPI
1629776752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34007936A)
Enumeration Date
2023-02-17
Last Update Date
2023-09-12
Business Address
ALYSIA KONKOL LCSW
1540 TRINITY PL
MISHAWAKA, IN 46545-5006
Phone number: 574-272-9000
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Mailing Address
ALYSIA KONKOL LCSW
1540 TRINITY PL
MISHAWAKA, IN 46545-5006
Phone number: 742-729-0005
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