Individual
JULIE KETCHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1799 STUMPF BLVD STE 1, TERRYTOWN, LA 70056
(504) 266-2522
(504) 308-1400
Mailing address
1799 STUMPF BLVD STE 1, TERRYTOWN, LA 70056-3950
(504) 266-2522
(504) 308-1400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
13354
LA
171M00000X
Case Manager/Care Coordinator
Primary
13354
LA
Other
Enumeration date
01/12/2018
Last updated
05/22/2018
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