Olga Marrie Ketchum, MSW, LICSW

NPI #1982070868 in Bellevue, Washington

Provider Information

NPI Number: 1982070868
Entity Type: Individual
Name: Olga Marrie Ketchum, MSW, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW, LICSW
Enumeration Date: Aug 14, 2015
Last Updated: Aug 14, 2015

Practice Location

Address: 12600 SE 38TH ST STE 130
City: Bellevue
State: Washington
ZIP Code: 98006-6105
Phone: (206) 330-8880

Specialties & Taxonomy Codes

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

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