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Individual

MS. LYNN A KOCH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCSW, ACSW

Contact information

Practice address
6801 LAKE PLAZA DR, SUITE A106, INDIANAPOLIS, IN 46220-4061
(317) 845-0266
(317) 845-9255
Mailing address
6801 LAKE PLAZA DR, SUITE A106, INDIANAPOLIS, IN 46220-4061
(317) 845-0266
(317) 845-9255

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34002678A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000183583
ANTHEM
IN
Enumeration date
09/07/2005
Last updated
07/08/2007
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