Organization
LISA M. OTT, LCSW-C, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA M OTT MSW, LCSW-C (OWNER)
(410) 440-5828
Entity
Organization
Contact information
Practice address
8640 GUILFORD RD STE 252, COLUMBIA, MD 21046-2666
(410) 440-5828
(410) 312-7298
Mailing address
9643 GREEN MOON PATH, COLUMBIA, MD 21046-2069
(410) 440-5828
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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