Individual
MRS. LINDA SUE KETTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, N.C.C., PLPC
Contact information
Practice address
201 NORTH CHERRY ST, WRIGHT CITY, MO 63390-1130
(636) 745-7880
Mailing address
12230 MEADE DR, WRIGHT CITY, MO 63390-3955
(636) 795-3714
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2006033179
MO
Other
Enumeration date
07/04/2007
Last updated
07/08/2007
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