Individual
ANDREA DEN OTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 280-7084
Mailing address
2714 LA FOLLETTE AVE, MADISON, WI 53704-5413
(608) 212-0940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8399
WI
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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