Individual
EVALYN YVETTE OTZENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
105 WOODBINE DR, LAFAYETTE, LA 70503-6216
(337) 456-4633
Mailing address
105 WOODBINE DR, LAFAYETTE, LA 70503-6216
(337) 456-4633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2829
LA
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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