Individual
ANDREW OTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHS-M
Contact information
Practice address
17606 COSHOCTON RD, MOUNT VERNON, OH 43050-9218
(740) 397-7568
Mailing address
2000 NOBLE DR, WOOSTER, OH 44691-5353
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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