Esca Koegelenberg

NPI #1194446542 in Payette, Idaho

Provider Information

NPI Number: 1194446542
Entity Type: Individual
Name: Esca Koegelenberg
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Sep 5, 2022
Last Updated: Sep 5, 2022

Practice Location

Address: 250 S MAIN ST
City: Payette
State: Idaho
ZIP Code: 83661-2853
Phone: (208) 405-0020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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