Individual
MRS. ADDIE J KETCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
15 MOUNT CARMEL PL, POUGHKEEPSIE, NY 12601-1714
(845) 485-8901
Mailing address
15 MOUNT CARMEL PL, POUGHKEEPSIE, NY 12601-1714
(845) 485-8901
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0213051
NY
Other
Enumeration date
08/18/2011
Last updated
08/07/2013
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