Organization
KATRINA C. OTT, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATRINA CHRISTINE OTT LCSW (LICENSED CLINICIAL SOCIAL WORKER)
(260) 519-2806
Entity
Organization
Contact information
Practice address
10315 DAWSONS CREEK BLVD STE E, FORT WAYNE, IN 46825-1912
(260) 387-6340
Mailing address
402 N WASHINGTON ST, COLUMBIA CITY, IN 46725-1721
(260) 519-2806
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005695A
IN
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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