Individual
EUNJEONG KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 E GORHAM ST, MADISON, WI 53703-1524
(608) 999-0476
Mailing address
4725 SHEBOYGAN AVE APT 125, MADISON, WI 53705-3152
(608) 999-0476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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