Individual
AMANDA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 ADAMS RD, WILLIAMSTOWN, MA 01267-2928
(413) 458-2111
Mailing address
62 HILLSIDE DR, WILLISTON, VT 05495-5338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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