Individual
JENNIFER KETCHOYIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
177 PRICE AVE, SALT LAKE CITY, UT 84115-4345
(801) 269-7533
(801) 269-7565
Mailing address
177 PRICE AVE, SALT LAKE CITY, UT 84115-4345
(801) 269-7533
(801) 269-7565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
333128-3501
UT
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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