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Individual

EDWARD HERBERT KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
10125 W COLONIAL DR STE 212, OCOEE, FL 34761-4200
(833) 769-3524
Mailing address
10125 W COLONIAL DR STE 212, OCOEE, FL 34761-4200
(833) 769-3524
(407) 232-9439

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
102102
NY
1041C0700X
Clinical Social Worker
Primary
SW18288
FL

Other

Enumeration date
10/18/2017
Last updated
01/05/2026
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