Michael P Koch, LIC SW
NPI #1861453714 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1861453714
- Entity Type
- Individual
- Name
- Michael P Koch, LIC SW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LIC SW
- Enumeration Date
- Mar 30, 2006
- Last Updated
- Jan 12, 2023
Practice Location
- Address
- 8611 W POINT DOUGLAS RD S
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016-4005
- Phone
- (651) 458-1884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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