Individual
MRS. CHELSEA LINN KETTERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2025 E AZTEC AVE, GALLUP, NM 87301-4803
(505) 863-3828
(505) 863-6612
Mailing address
2025 E AZTEC AVE, GALLUP, NM 87301-4803
(505) 863-3828
(505) 863-6612
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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