Individual
ABBIE KETCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11226 INTERROAD TRL, WOLVERINE, MI 49799-8101
(231) 881-3951
Mailing address
11226 INTERROAD TRL, WOLVERINE, MI 49799-8101
(231) 881-3951
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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