Klette-Ketchum, Maria
Klette-Ketchum, Maria is an sole proprietor health care provider with primary practice located at 1350 Park Dr Ste A, Mandeville LA 70471-3205. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Klette-Ketchum, Maria can be contacted via phone (985) 624-2266.Contact Information
Primary practice address
1350 Park Dr Ste A
Mandeville LA 70471-3205
Phone: (985) 624-2266
Fax: (985) 898-0945
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1895 | Louisiana |
Profile Details
NPI number | 1447243159 |
---|---|
LBN Legal business name | Klette-Ketchum, Maria |
Credentials | MSW, LCSW, ACSW,SAP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 27th, 2005 |
Last updated | Jul 27th, 2018 - about 6 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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