Coniglio, Mary N
Coniglio, Mary N is an sole proprietor health care provider with primary practice located at 118 E Trinity Pl Ste 100, Decatur GA 30030-3302. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Coniglio, Mary N can be contacted via phone (404) 372-3054.Contact Information
Primary practice address
118 E Trinity Pl Ste 100
Decatur GA 30030-3302
Phone: (404) 372-3054
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 17893 | Minnesota |
Profile Details
| NPI number | 1144272501 |
|---|---|
| LBN Legal business name | Coniglio, Mary N |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Sep 14th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144272501 | NPPES |
| Minnesota | Other | 6269648 | MEDICA NUMBER |
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