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1114773694
CHRISTOPHER MICHAEL KOCH
BOISE, ID
NPI
1114773694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-30865)
Enumeration Date
2024-04-25
Last Update Date
2024-04-25
Business Address
CHRISTOPHER MICHAEL KOCH LCSW
12015 W DICKENS DR
BOISE, ID 83709-7737
Phone number: 208-972-0852
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Mailing Address
CHRISTOPHER MICHAEL KOCH LCSW
12015 W DICKENS DR
BOISE, ID 83709-7737
Phone number: 208-972-0852
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