Individual
TRUDDY KETCHERSID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 STRATTON ST, LOGAN, WV 25601-4015
(304) 752-8972
(304) 752-8977
Mailing address
PO BOX 64, VERDUNVILLE, WV 25649-0064
(304) 752-8972
(304) 752-8977
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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