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1679761134
ELLEN K KETCHUM
CORTLAND, NY
NPI
1679761134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY R033328-1)
Enumeration Date
2007-10-10
Last Update Date
2007-10-10
Business Address
Ms. ELLEN K KETCHUM LCSW-R
73 PORT WATSON ST
CORTLAND, NY 13045-3027
Phone number: 607-756-4650
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Mailing Address
Ms. ELLEN K KETCHUM LCSW-R
6635 MORGAN HILL RD
TRUXTON, NY 13158-4117
Phone number: 607-756-4650
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