Individual
JENNIFER KETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 QUARRY LAKE DR, COLUMBUS, OH 43204-4951
(513) 368-5054
Mailing address
2626 QUARRY LAKE DR, COLUMBUS, OH 43204-4951
(513) 368-5054
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S1201162
OH
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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