Individual
MARY KATHERINE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 PHILADELPHIA ST, AMES, IA 50010-8768
(515) 232-7220
Mailing address
1915 PHILADELPHIA ST, AMES, IA 50010-8768
(515) 232-7220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
078962
IA
Other
Enumeration date
05/07/2011
Last updated
10/13/2016
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