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Individual

DAVID J. KOSKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ICADC

Contact information

Practice address
207 COLEGATE DR, MARIETTA, OH 45750-2363
(740) 376-0930
(740) 376-0933
Mailing address
PO BOX 1385, PARKERSBURG, WV 26102-1385
(304) 422-1405
(304) 485-4466

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
923161
OH
104100000X
Social Worker
S.0016323
OH

Other

Enumeration date
06/08/2012
Last updated
06/08/2012
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