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Individual
MELISSA KETNER
Active
Individual
MELISSA KETNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33005233A
IN
1041C0700X
Clinical Social Worker
Primary
34005637A
IN
1041C0700X
Clinical Social Worker
34506
MN
1041C0700X
Clinical Social Worker
LCSW00001762
KY
Other
Enumeration date
06/07/2007
Last updated
08/17/2026
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