Individual
MR. J. ANDREW OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
10315E DAWSON'S CREEK BLVD., FORT WAYNE, IN 46825-1912
(260) 438-7634
(260) 387-6984
Mailing address
10315E DAWSONS CREEK BLVD, FORT WAYNE, IN 46825-1912
(260) 387-6340
(260) 387-6984
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005694A
IN
Other
Enumeration date
06/12/2009
Last updated
08/15/2017
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