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1184940199
KATY VIOLET KETCHUM SMITH
ANCHORAGE, AK
NPI
1184940199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-04-15
Last Update Date
2010-04-15
Business Address
Mrs. KATY VIOLET KETCHUM SMITH M.S.C.P.
4600 ABBOTT ROAD
ANCHORAGE, AK 99507
Phone number: 907-348-9209
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Mailing Address
Mrs. KATY VIOLET KETCHUM SMITH M.S.C.P.
4600 ABBOTT ROAD
ANCHORAGE, AK 99507
Phone number: 907-348-9209
Copy
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