Individual
MARY KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-ED SLP
Contact information
Practice address
1720 CRANE AVE, HASTINGS, NE 68901
(402) 461-7593
Mailing address
1924 W A ST, HASTINGS, NE 68901-5650
(402) 461-7500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1096
NE
Other
Enumeration date
12/15/2006
Last updated
08/21/2018
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