Individual
MRS. JOANNA MARIE DOANE OTTAVIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4435 E CHANDLER BLVD STE 200, PHOENIX, AZ 85048-7651
(480) 600-6407
Mailing address
4435 E CHANDLER BLVD STE 200, PHOENIX, AZ 85048-7651
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-17859
AZ
Other
Enumeration date
05/23/2019
Last updated
01/30/2020
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