Individual
CAROL IRENE KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2351 32ND ST APT A3, ASTORIA, NY 11105-2421
(718) 777-0509
Mailing address
2351 32ND ST APT A3, ASTORIA, NY 11105-2421
(718) 777-0509
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
073086
NY
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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