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NPI Code Detail

MEDICARE: MRS. DORIS M KOCHINSKY LCSW

MEDICARE: MRS. DORIS M KOCHINSKY LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker2043LA

General Provider Information

NPI Number : 1992954135
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DORIS M KOCHINSKY LCSW
Provider Business Mailing Address
First Line : 271 KOCHINSKY RD
Second Line :
City : NATCHITOCHES
State : LA
Zip : 71457-4278
Country : US
Telephone Number : 318-379-2174
Fax Number :
Provider Business Practice Location Address
First Line : 271 KOCHINSKY RD
Second Line :
City : NATCHITOCHES
State : LA
Zip : 71457-4278
Country : US
Telephone Number : 318-379-2174
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2008
Last Update Date : 10/06/2011

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