person
Stephanie D Ketner
Child Mental Illness Respite Care in Glendale, Arizona
NPI 1447555297

Stephanie D Ketner is a Child Mental Illness Respite Care based in Glendale, AZ and is specialized in Respite Care, Mental Illness, Child. Stephanie D Ketner practices in Glendale, AZ. The NPI Number for Stephanie D Ketner is 1447555297 and holds a License No. 2281564 (Arizona).

The current practice location address for Stephanie D Ketner is 4730 W Sunnyside Ave, Glendale, AZ and can be reached out via phone at 602-413-0115. You can also correspond with Stephanie D Ketner through the mailing address at 4730 W SUNNYSIDE AVE, GLENDALE, AZ - 85304-2927 (mailing address contact number: 602-413-0115).

Location: 4730 W Sunnyside Ave, Glendale, AZ, 85304-2927
person
Provider Profile Details
NPI Number
1447555297
Provider Name
Stephanie D Ketner
Credential
Provider Entity Type
Individual
Gender
Female
Address
4730 W Sunnyside Ave, Glendale, AZ, 85304-2927
Phone Number
602-413-0115
Fax Number
Provider Enumeration Date
01/25/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4730 W Sunnyside Ave
City
State
Zip
85304-2927
Phone Number
602-413-0115
Fax Number
person
Provider Business Mailing Address Details
Address
4730 W Sunnyside Ave
City
State
Zip
85304-2927
Phone Number
602-413-0115
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
License No.
2281564 (Arizona)
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
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