Individual
LEAH MARIE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
317 N BROAD ST, MEDICAL LAKE, WA 99022-8763
(509) 565-3426
Mailing address
17016 E INDIANA PKWY APT C310, SPOKANE VALLEY, WA 99016-5242
(203) 815-4901
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60792815
WA
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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