Individual
MRS. MARIA KLETTE-KETCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, ACSW,SAP
Contact information
Practice address
1350 PARK DR, STE A, MANDEVILLE, LA 70471-3205
(985) 624-2266
(985) 898-0945
Mailing address
76230 HIGHWAY 1083, COVINGTON, LA 70435-4050
(985) 624-2266
(985) 898-0945
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1895
LA
Other
Enumeration date
08/27/2005
Last updated
07/27/2018
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