Individual
MR. MICHAEL OTTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW-CP
Contact information
Practice address
653 HAMLIN WAY, IRMO, SC 29063-7753
(803) 465-0347
Mailing address
653 HAMLIN WAY, IRMO, SC 29063-7753
(803) 465-0347
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5841
SC
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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