Individual
LESLIE A KOCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 433-6073
Mailing address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 433-6073
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
827
WI
Other
Enumeration date
12/09/2005
Last updated
07/08/2007
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