Individual
LEAH KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 W COMMERCIAL ST STE 205, PORTLAND, ME 04101-4799
(207) 874-1068
Mailing address
174 LONGFELLOW ST, PORTLAND, ME 04103-3034
(207) 239-7051
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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