Individual
JAN FLORENCE OTTENFELD
Active
Individual
JAN FLORENCE OTTENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004928
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW00004928
STATE LISCENCE
WA
Enumeration date
08/29/2006
Last updated
07/08/2007
Update your record
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