Individual
MONICA KOGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2814 SOUTH U.S HWY 1, SUITE D4, FORT PIERCE, FL 34982-1215
(772) 489-4726
Mailing address
3816 NW 34TH AVE, OKEECHOBEE, FL 34972-1215
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650789152
—
FL
Enumeration date
11/13/2015
Last updated
11/13/2015
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