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Organization
LIFE BRANCH INC.
Active
Organization
LIFE BRANCH INC.
Active
Other names
Christina Ketchum, LCSW PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA LEA KETCHUM LCSW (OWNER)
(361) 332-6551
Entity
Organization
Contact information
Practice address
5262 SOUTH STAPLES, SUITE 300, CORPUS CHRISTI, TX 78411-4116
(361) 332-6551
(361) 687-2563
Mailing address
5437 KING ACRES DR, CORPUS CHRISTI, TX 78414-6301
(361) 332-6551
(361) 687-2563
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
35072
TX
Other
Enumeration date
02/21/2013
Last updated
05/20/2014
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