Individual
JESSICA KOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 MELVIN RD, GILBERTOWN, AL 36908-5254
(251) 843-2292
(800) 343-1596
Mailing address
2578 HORACE ODOM RD, MILLRY, AL 36558-5069
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4874G
AL
Other
Enumeration date
01/03/2026
Last updated
01/03/2026
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