Tieesha Ketchings

NPI #1699311290 in Fraser, Michigan

Provider Information

NPI Number: 1699311290
Entity Type: Individual
Name: Tieesha Ketchings
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Nov 19, 2019
Last Updated: Dec 7, 2022

Practice Location

Address: 32306 HUBER LN
City: Fraser
State: Michigan
ZIP Code: 48026-2128
Phone: (313) 461-3091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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