Individual
BREANA KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 E MYRTLE ST, PLEASANT HILL, MO 64080-1695
(816) 540-2149
Mailing address
1301 E MYRTLE ST, PLEASANT HILL, MO 64080-1695
(816) 540-2149
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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