| NPI | 1144560574 |
|---|---|
| Former Legal Business Name | CHRISTINA KETCHUM, LCSW PLLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA LEA KETCHUM Owner 361-332-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 35072) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2014-05-20 |