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Individual
MICHAEL P KOCH
Active
Individual
MICHAEL P KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIC SW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5141
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768170400
—
MN
Enumeration date
03/30/2006
Last updated
01/12/2023
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