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Individual

CARLEEN E. OTTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.A.

Contact information

Practice address
1790 NATIONS DR, SUITE 116, GURNEE, IL 60031-9164
(847) 662-0945
(847) 855-1609
Mailing address
1790 NATIONS DR, SUITE 116, GURNEE, IL 60031-9164
(847) 662-0945
(847) 855-1609

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/27/2016
Last updated
07/27/2016
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