Individual
MELISSA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 PROFESSIONAL PL STE 102103, BRIDGEPORT, WV 26330-0258
(304) 848-5770
Mailing address
65 PROFESSIONAL PL STE 102103, BRIDGEPORT, WV 26330-0258
(304) 848-5770
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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