Jasmine Koch, MSW
Social Worker, Clinical in Orlando, FL. Individual provider (NPI-1).
NPI number1982052221
StatusActive
Last updated in NPPESFeb 20, 2019
Details
- NPI
- 1982052221
- Entity type
- Individual (NPI-1)
- Name
- Jasmine Koch
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 26, 2016
- Last updated
- Feb 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
1800 Mercy DrOrlando, FL 32808-5646
Phone 407-440-4509
Mailing address
4214 Kelly Miller CtOrlando, FL 32811-5611
Phone 321-439-0057
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