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1497004592
DANA JO KETCHEL
STATEN ISLAND, NY
NPI
1497004592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 021992-1)
Enumeration Date
2012-09-05
Last Update Date
2012-09-05
Business Address
-- DANA JO KETCHEL MS CCC SLP
1605 FOREST AVENUE
STATEN ISLAND, NY 10302
Phone number: 718-608-9170
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Mailing Address
-- DANA JO KETCHEL MS CCC SLP
24 BEACH AVE
STATEN ISLAND, NY 10306
Phone number:
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