Individual
MS. DARLA OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW, MSM, CTACC
Contact information
Practice address
13333 CEDAR LAKE RD, KIEL, WI 53042-4053
(920) 894-1114
Mailing address
13333 CEDAR LAKE RD, KIEL, WI 53042-4053
(920) 889-5369
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
02/21/2020
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