Individual
EMILY KOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
130 JEDS LN, MASON, NH 03048-4602
(603) 803-6910
(603) 664-4562
Mailing address
30 EASTBROOK RD STE 303, DEDHAM, MA 02026-2084
(617) 763-8091
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
125902
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184171019
NPI 2
—
Enumeration date
07/07/2022
Last updated
01/31/2023
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