Individual
KETIA LINDA VALCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
2431 ALOMA AVE STE 255, WINTER PARK, FL 32792-2541
(407) 374-9605
Mailing address
10201 WETLAND TRL APT 2018, ORLANDO, FL 32817-5501
(407) 374-9605
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
08/07/2020
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