JULIA KETCHAM

FORT WAYNE, IN
NPI1861537425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  22000296A)
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
-- JULIA KETCHAM SLP
3320 N CLINTON ST
FORT WAYNE, IN 46805-1918
Phone number: 260-483-2100
Mailing Address
-- JULIA KETCHAM SLP
8442 CERCO CT
FORT WAYNE, IN 46815-5713
Phone number: 260-485-4672
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