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1427757749
STACY ANNE KOCH
LIBERTYVILLE, IL
NPI
1427757749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.025337)
Enumeration Date
2023-02-24
Last Update Date
2023-05-08
Business Address
STACY ANNE KOCH LCSW
1800 HOLLISTER DR STE 201
LIBERTYVILLE, IL 60048-5266
Phone number: 847-549-1189
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Mailing Address
STACY ANNE KOCH LCSW
1214 LAUREL AVE
DEERFIELD, IL 60015-4782
Phone number: 773-294-2442
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