Individual
MRS. MICHELLE ANNE OTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 328-4600
Mailing address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 328-4600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW12049
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW12049
LICENSURE #
KS
Enumeration date
09/26/2022
Last updated
09/26/2022
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