CHARLES J KOCH

SACO, ME
NPI1841591070
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ME  XL3708)
Enumeration Date2010-11-04
Last Update Date2010-11-04
Business Address
-- CHARLES J KOCH LCPC-C
50 MOODY ST
SACO, ME 04072-1536
Phone number: 800-434-3000
Mailing Address
-- CHARLES J KOCH LCPC-C
50 MOODY ST
SACO, ME 04072-1536
Phone number: 800-434-3000
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