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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MYRON EDWARD KETTER, LCSW

Active Sole Proprietor

MYRON EDWARD KETTER, LCSW is a Clinical Social Worker healthcare provider located in BLAIRSVILLE, Georgia. NPI 1306015656 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BLAIRSVILLE, GA

Registration Details

NPI Number
1306015656
Provider Type
Individual
Gender
Male
NPI Issued
Feb 20, 2008 (18.297697724756 yrs)
Last Updated
Feb 10, 2020
Licenses
10957 (SC)
SW 8551 (FL)
005368 (GA)
Sole Proprietor
Yes

Practice Information

Address
98 CLEVELAND ST STE C
BLAIRSVILLE, GA, 305123564
Browse GA providers · Browse ZIP 30512
Phone
7069945360
Fax
7062372571
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in BLAIRSVILLE, GA

Name Credential NPI
MRS. KIMBERLY ANN MCFARLAND LCSW, RPT 1336445444
LESLIE JAMES MCFARLAND LCSW 1558624510
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.