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1477526903
STACEY ANN KETCHMAN
FORT BRAGG, NC
NPI
1477526903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: AL 1367)
Enumeration Date
2006-02-07
Last Update Date
2007-07-08
Business Address
Dr. STACEY ANN KETCHMAN Psy.D.
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310-0001
Phone number: 910-907-8198
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Mailing Address
Dr. STACEY ANN KETCHMAN Psy.D.
2926 COACHWAY DR
FAYETTEVILLE, NC 28306-8948
Phone number: 240-277-3604
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