Mary Jo Koch

NPI #1336651363 in Boone, Iowa

Provider Information

NPI Number: 1336651363
Entity Type: Individual
Name: Mary Jo Koch
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 31, 2017
Last Updated: Oct 31, 2017

Practice Location

Address: 105 S MARSHALL ST
City: Boone
State: Iowa
ZIP Code: 50036-4899
Phone: (515) 432-7983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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