Ketchale, Kerry Lynn

Ketchale, Kerry Lynn is an individual health care provider with primary practice located at 420 Somers Rd , Ellington CT 06029-2629. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ketchale, Kerry Lynn can be contacted via phone (860) 255-4475.

Contact Information

Primary practice address
420 Somers Rd Ellington CT 06029-2629
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 005794 Connecticut

Profile Details

NPI number 1518270446
LBN Legal business name Ketchale, Kerry Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2010
Last updated Jun 22nd, 2024 - about last year

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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