Individual
MR. DONALD PAUL KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
225 EAST AVE, PAWTUCKET, RI 02860-3840
(401) 728-7342
Mailing address
225 EAST AVE, PAWTUCKET, RI 02860-3840
(401) 728-7342
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00050
RI
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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