Individual
MS. NICOLE OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE, 239, WASHINGTON, DC 20020-7024
(202) 610-0066
Mailing address
4201 CONNECTICUT AVE NW, 300, WASHINGTON, DC 20008-1158
(202) 624-0010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50078411
DC
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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