Individual
ANTHONY OTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
4410 CLAIBORNE SQ E STE 334, HAMPTON, VA 23666-2074
(757) 713-1296
Mailing address
2822 PICKETT RD APT 154, DURHAM, NC 27705-9307
(757) 713-1296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006260
VA
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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