Individual
CHIOMA ORIE OTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2400 JUDES WAY, JONESBORO, AR 72404-6018
(870) 219-6960
Mailing address
2400 JUDES WAY, JONESBORO, AR 72404-6018
(870) 219-6960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11254-C
AR
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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