Individual
KATHERINE DEANNE OTTOFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
302 CAMPUSVIEW DR STE 201, COLUMBIA, MO 65201-7506
(573) 328-2288
Mailing address
302 CAMPUSVIEW DR STE 201, COLUMBIA, MO 65201-7506
(573) 328-2288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009001269
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496516907
—
MO
Enumeration date
07/28/2011
Last updated
12/22/2022
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