Individual
MARCUS BEAU OTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW-LCSW
Contact information
Practice address
2412 S CLIFF AVE, SIOUX FALLS, SD 57105-4031
(605) 322-4259
Mailing address
3012 W 90TH ST, SIOUX FALLS, SD 57108-6433
(605) 940-4738
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5083
SD
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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