Individual
KRIZIA MARIE KETCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 CLARK ST, OVIEDO, FL 32765-7378
(407) 359-5693
(407) 792-5693
Mailing address
5212 LAKE MARGARET DR APT 1212, ORLANDO, FL 32812-6113
(305) 972-7001
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI4278
FL
Other
Enumeration date
04/25/2021
Last updated
04/25/2021
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