Individual
MR. DON G OSTENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
604 LA CORTA LN, PRESCOTT, AZ 86301-1020
(928) 445-4096
Mailing address
604 LA CORTA LN, PRESCOTT, AZ 86301-1020
(928) 445-4096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-0817
AZ
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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