Courtney Ann Otteson LSW

NPI 1578889184 - Social Worker - 104100000X

NPI Details
NPI 1578889184
Gender Female
Enumeration Date 04/08/2010
Last Updated 04/08/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
519 2ND ST N
INDEPENDENT LIFESTYLES
ST. CLOUD MN, 56303, US
Phone (320) 529-9000
Fax (320) 529-0747
Business Location
519 2ND STREET N
INDEPENDENT LIFESTYLES, INC
ST. CLOUD MN, 56303, US
Phone (320) 529-9000
Fax (320) 529-0747
Toxanomy
Taxonomy Code 104100000X
License State Minnesota
License Number 18899
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According to our database, Courtney Ann Otteson LSW NPI is 1578889184, taxonomy code is 104100000X and license number is 18899, license state is located at Minnesota. Courtney Ann Otteson LSW physically located at 519 2nd St N, St. Cloud MN, 56303. NPI Number Courtney Ann Otteson LSW has the Individual type.

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1578889184 NPI number is provided on an as is basis without warranty of any kind. 1578889184 is maintained by the National Plan & Provider Enumeration System. The contents of Courtney Ann Otteson LSW are for informational purposes only.