JAMIE KETCHUM

Social Worker

Active Individual
NPI: 1700736774

Practice Address

1126 19TH ST
Rockford, IL 61104

Phone: (815) 721-2859

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes -

Frequently Asked Questions

NPI 1700736774 is the National Provider Identifier for JAMIE KETCHUM, a Social Worker provider located in Rockford, IL. This NPI was enumerated on January 30, 2026.
JAMIE KETCHUM practices at 1126 19TH ST, Rockford, IL 61104.

Quick Facts

NPI
1700736774
Type
Individual
Enumerated
Jan 30, 2026
Last Updated
Jan 30, 2026

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