Lacey Mae Koch
NPI #1093372898 in Little Torch Key, Florida
Provider Information
- NPI Number
- 1093372898
- Entity Type
- Individual
- Name
- Lacey Mae Koch
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 28, 2019
- Last Updated
- May 28, 2019
Practice Location
- Address
- 214 BLACKBEARD RD
- City
- Little Torch Key
- State
- Florida
- ZIP Code
- 33042-5536
- Phone
- (989) 339-0931
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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