Sophia Louise Ketchum
NPI #1831821354 in Saint Louis Park, Minnesota
Provider Information
- NPI Number
- 1831821354
- Entity Type
- Individual
- Name
- Sophia Louise Ketchum
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Jun 24, 2022
- Last Updated
- Jun 24, 2022
Practice Location
- Address
- 4236 PARK GLEN RD
- City
- Saint Louis Park
- State
- Minnesota
- ZIP Code
- 55416-4758
- Phone
- (952) 888-7055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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