ADAM KETCHERSIDE

SAINT LOUIS, MO
NPI1467851824
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2014007562)
Enumeration Date2014-08-21
Last Update Date2014-08-21
Business Address
-- ADAM KETCHERSIDE LMSW
10024 OFFICE CENTER AVE STE 100
SAINT LOUIS, MO 63128-1392
Phone number: 314-729-7050
Mailing Address
-- ADAM KETCHERSIDE LMSW
900 E LAHARPE ST
KIRKSVILLE, MO 63501-4520
Phone number: 660-665-1962
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