MRS. Jessica Koenke, LMSW
NPI #1154831022 in West Babylon, New York
Provider Information
- NPI Number
- 1154831022
- Entity Type
- Individual
- Name
- MRS. Jessica Koenke, LMSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- LMSW
- Enumeration Date
- Oct 5, 2017
- Last Updated
- Oct 5, 2017
Practice Location
- Address
- 1 ROUTE 109
- City
- West Babylon
- State
- New York
- ZIP Code
- 11704-6207
- Phone
- (631) 321-8229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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