Individual
AUBREY JACQUELINE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2120 COLORADO BLVD STE 2, LOS ANGELES, CA 90041-1255
(800) 562-6382
Mailing address
PO BOX 781242, LOS ANGELES, CA 90016-9242
(213) 224-9466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
88470
CA
Other
Enumeration date
08/28/2013
Last updated
01/03/2022
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