Benjamin Koch LCSW

NPI 1285907873 - Social Worker - 1041C0700X

NPI Details
NPI 1285907873
Gender Male
Enumeration Date 02/14/2012
Last Updated 11/16/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3840 HULEN ST
HTN, CLIENT ACCOUNTING
FORT WORTH TX, 76107-7277, US
Phone (817) 569-4300
Fax
Business Location
PO BOX 2603
HTN, CLIENT ACCOUNTING
FORT WORTH TX, 76113-2603, US
Phone (817) 569-4300
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Texas
License Number 52810
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According to our database, Benjamin Koch LCSW NPI is 1285907873, taxonomy code is 1041C0700X and license number is 52810, license state is located at Texas. Benjamin Koch LCSW physically located at 3840 Hulen St, Fort Worth TX, 76107-7277. NPI Number Benjamin Koch LCSW has the Individual type.

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1285907873 NPI number is provided on an as is basis without warranty of any kind. 1285907873 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin Koch LCSW are for informational purposes only.