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Individual

CARMEN K KOTTHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
24800 CHAGRIN BLVD, SUITE 103, BEACHWOOD, OH 44122-5648
(216) 245-6231
(216) 245-6351
Mailing address
24800 CHAGRIN BLVD, SUITE 103, BEACHWOOD, OH 44122-5648
(216) 245-6231
(216) 245-6351

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.0900019
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0268768
OH
Enumeration date
09/23/2009
Last updated
03/07/2016
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