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Individual
MR. BERNARD OTT
Active
Individual
MR. BERNARD OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW009423L
PA
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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