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1942614268
JACLYN KOCH
NEW YORK, NY
NPI
1942614268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: NY 019936-1)
Additional Taxonomies
103TF0200X Psychologist, Forensic
Enumeration Date
2014-06-13
Last Update Date
2018-08-26
Business Address
JACLYN KOCH Ph.D.
600 E 125TH ST
NEW YORK, NY 10035
Phone number: 646-672-5864
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Mailing Address
JACLYN KOCH Ph.D.
600 E 125TH ST
NEW YORK, NY 10035-6000
Phone number: 646-672-5864
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