Individual
MRS. LAURA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
111 SANCTUARY AVE, WOODSTOCK, GA 30188
(912) 308-3841
Mailing address
111 SANCTUARY AVE, WOODSTOCK, GA 30188-2980
(912) 308-3841
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007314
GA
235Z00000X
Speech-Language Pathologist
—
GA
Other
Enumeration date
03/07/2013
Last updated
01/04/2019
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