Individual
LAUREN MARIE KETTLEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
120 BELLVIEW AVENUE, WINCHESTER, VA 22601
(540) 542-0200
Mailing address
111 VIRGINIA DRIVE, STEPHENS CITY, VA 22655
(540) 664-1200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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