Individual
ASHLEY KETCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
905 W CANTEY ST, FORT WORTH, TX 76110-3205
(512) 694-2016
Mailing address
905 W CANTEY ST, FORT WORTH, TX 76110-3205
(817) 382-1876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
52922
TX
Other
Enumeration date
01/24/2024
Last updated
01/14/2026
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