Individual
MARIA ELAINE KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
259 12TH ST APT 1A, HOBOKEN, NJ 07030-3217
(845) 380-5971
Mailing address
259 12TH ST APT 1A, HOBOKEN, NJ 07030-3217
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
123291
NY
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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