Individual
AMANDA KETCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 PARK ST, PRESQUE ISLE, ME 04769-2140
(207) 764-3721
Mailing address
49 COURT ST, HOULTON, ME 04730-2076
(207) 329-0744
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SAS3488
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SAS3488
—
ME
Enumeration date
02/01/2022
Last updated
02/01/2022
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