Individual
DOROTHY KOCZAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4020 W GOELLER BLVD, SUITE D, COLUMBUS, IN 47201-8273
(812) 342-2860
(812) 342-2849
Mailing address
4020 W GOELLER BLVD, SUITE D, COLUMBUS, IN 47201-8273
(812) 342-2860
(812) 342-2849
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003678A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000392363
ANTHEM BC BS
IN
Enumeration date
02/01/2006
Last updated
07/25/2007
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