Individual
MICHAEL KOCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
(515) 282-2319
(515) 282-3234
Mailing address
3812 INGERSOLL AVE, STE 204, DES MOINES, IA 50312-3400
(515) 282-2319
(515) 282-3234
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
06090
IA
Other
Enumeration date
09/26/2005
Last updated
11/02/2016
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