Kettia Duperval's National Provider Identifier (NPI) Details
Kettia Duperval, LCSW
NPI: 1164733895
Enumeration Date: 2010-06-28
Last updated: 2022-11-07
Sole Proprietor: NO
Status: active
Postal Address: 4737 N OCEAN DR # 1011, LAUDERDALE BY THE SEA, FL
Phone: 954-993-1646
Primary Practice Address: 9730 GLACIER DR, MIRAMAR, FL
Practice's phone: 954-993-1646