Mr. Lee Konczak MSW
Clinical Social Worker in Brookfield, WI(View on Map)
Full Name
Mr. Lee Konczak MSW
NPI Number
1518976703
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/05/2006
Specialties
(Taxonomies)Code
1041C0700X
101YA0400X
1041S0200X
Primary Taxonomy
Yes
No
No
Licenses
State
Wisconsin
Wisconsin
License Number
632123
12275
Contact
Information
Purpose
Mailing
Location
Address
5416 MANSFIELD DR
16535 W BLUEMOUND RD
City
Greendale
Brookfield
State
WI
WI
Postal Code
53129-1354
53005-5936
Country
US
US
Telephone Number
N/A
(262) 542-3255
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/13/2008
Provider Address
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