Individual
JAMES KEVIN OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1425 S 700 E STE 102, SALT LAKE CITY, UT 84105-2125
(801) 556-6007
Mailing address
1425 S 700 E STE 102, SALT LAKE CITY, UT 84105-2125
(801) 556-6007
(801) 410-4405
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
116648-3501
UT
Other
Enumeration date
11/14/2006
Last updated
06/22/2020
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