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
ZIP Code
55016-4005
Phone
(651) 458-1884

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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