Individual
AMBER MICHELLE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1216 SELBY AVE, SAINT PAUL, MN 55104-7516
(651) 698-1729
Mailing address
1216 SELBY AVE, SAINT PAUL, MN 55104-7516
(651) 698-1729
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528424
MN
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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