Individual
GAIL IRENE KETOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
209 W CRISER RD, FRONT ROYAL, VA 22630-2360
(540) 636-2931
Mailing address
209 W CRISER RD, FRONT ROYAL, VA 22630-2360
(540) 636-2931
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006903
VA
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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