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1003811712
LISA M KOCH
SPOKANE, WA
NPI
1003811712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: WA PY00002472)
Enumeration Date
2005-06-17
Last Update Date
2015-09-18
Business Address
-- LISA M KOCH Ph.D.
105 W 8TH AVE SUITE 450E
SPOKANE, WA 99204-2302
Phone number: 509-474-6920
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Mailing Address
-- LISA M KOCH Ph.D.
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 866-747-2455
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