Individual
STEPHANIE KETCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43B SPRINGBROOK RD, WESTERLY, RI 02891-1002
(401) 596-0751
Mailing address
43B SPRINGBROOK RD, WESTERLY, RI 02891-1002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP00607
RI
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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