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1134542046
ERVIN VINCENT KETCHIE
MOORESVILLE, NC
NPI
1134542046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 8916)
Enumeration Date
2014-01-28
Last Update Date
2014-01-28
Business Address
Mr. ERVIN VINCENT KETCHIE LPC
222 SOUTHSIDE AVE
MOORESVILLE, NC 28115-3235
Phone number: 704-658-0238
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Mailing Address
Mr. ERVIN VINCENT KETCHIE LPC
222 SOUTHSIDE AVE
MOORESVILLE, NC 28115-3235
Phone number: 704-658-0238
Copy
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