Individual
VICTORIA K.A KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 HERRICK ST, BEVERLY, MA 01915-2734
(978) 232-7053
Mailing address
360 MERRIMACK ST, LAWRENCE, MA 01843-1740
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY10000063
MA
Other
Enumeration date
09/13/2017
Last updated
02/05/2024
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