George, Ketra

George, Ketra is an individual health care provider with primary practice located at 5701 Shingle Creek Pkwy Ste 661 , Brooklyn Center MN 55430-2486. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. George, Ketra can be contacted via phone (952) 303-5804.

Contact Information

Primary practice address
5701 Shingle Creek Pkwy Ste 661 Brooklyn Center MN 55430-2486
Phone: (952) 303-5804
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1629641618
LBN Legal business name George, Ketra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2021
Last updated Jul 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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