Individual
SUZANNE K KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1138 PINE ST, BURLINGTON, BURLINGTON, VT 05401-5353
(802) 863-1326
(802) 660-3665
Mailing address
1518 11TH ST, STE 1-4, MONROE, WI 53566-1701
(802) 863-1326
(802) 660-3665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7879-123
WI
Other
Enumeration date
10/12/2006
Last updated
08/06/2019
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