Individual
KRYSTAL LYNN KETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
874 PURCHASE ST, NEW BEDFORD, MA 02740-6232
(508) 992-6553
(508) 997-2498
Mailing address
874 PURCHASE ST, NEW BEDFORD, MA 02740-6232
(508) 984-8401
(508) 984-8420
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
227694
MA
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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