Emily Rose Kettell, LMSW

NPI #1487119806 in Patchogue, New York

Provider Information

NPI Number: 1487119806
Entity Type: Individual
Name: Emily Rose Kettell, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Feb 11, 2019
Last Updated: Jan 28, 2023

Practice Location

Address: 456 WAVERLY AVE
City: Patchogue
State: New York
ZIP Code: 11772-1586
Phone: (631) 447-6460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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