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1780694349
STEPHEN WAYNE KONCSOL
HALLANDALE BEACH, FL
NPI
1780694349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: FL PY2754)
Enumeration Date
2006-08-08
Last Update Date
2023-10-03
Business Address
Dr. STEPHEN WAYNE KONCSOL Ph.D.
134 S DIXIE HWY STE 104
HALLANDALE BEACH, FL 33009-5423
Phone number: 305-653-0098
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Mailing Address
Dr. STEPHEN WAYNE KONCSOL Ph.D.
13200 SW 32ND CT
DAVIE, FL 33330-4603
Phone number: 954-682-9728
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