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Individual

DR. BIBIANA D KOH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
314 FRANKLIN AVE STE 306, BERLIN, MD 21811-1238
(410) 973-2525
(410) 973-2527
Mailing address
314 FRANKLIN AVE STE 306, BERLIN, MD 21811-1238
(410) 973-2525

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19379
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1892900
MD
01
256630
KAISER
MD
01
64740701
BCBS OF MD
MD
01
7047783
AETNA
MD
01
825275000
MAGELLAN
MD
01
A2840159
BCBS OF DC
DC
Enumeration date
08/13/2006
Last updated
11/14/2023
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