Individual
MISS ANNABELLE LOUISE KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1022 W MAIN ST, MONROE, WA 98272-2018
(425) 349-8810
Mailing address
12020 96TH AVE NE APT 330, KIRKLAND, WA 98034-6238
(412) 779-7923
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
163648
WA
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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