Elmer Otey LCSW

NPI 1265756555 - Social Worker - 1041C0700X

NPI Details
NPI 1265756555
Gender Male
Enumeration Date 03/16/2010
Last Updated 03/16/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2 WESTBURY DR
SAINT CHARLES MO, 63301-2558, US
Phone (636) 946-6376
Fax (636) 946-6479
Business Location
900 E LAHARPE ST
KIRKSVILLE MO, 63501-4520, US
Phone (660) 665-1962
Fax (660) 665-3989
Toxanomy
Taxonomy Code 1041C0700X
License State Missouri
License Number 002375
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According to our database, Elmer Otey LCSW NPI is 1265756555, taxonomy code is 1041C0700X and license number is 002375, license state is located at Missouri. Elmer Otey LCSW physically located at 2 Westbury Dr, Saint Charles MO, 63301-2558. NPI Number Elmer Otey LCSW has the Individual type.

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1265756555 NPI number is provided on an as is basis without warranty of any kind. 1265756555 is maintained by the National Plan & Provider Enumeration System. The contents of Elmer Otey LCSW are for informational purposes only.