Individual
JOELLE KATHLEEN OTTOSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, ICS,CSAC
Contact information
Practice address
240 N MILWAUKEE ST # 202, MILWAUKEE, WI 53202-5830
(262) 646-8288
Mailing address
240 N MILWAUKEE ST # 202, MILWAUKEE, WI 53202-5830
(262) 646-8288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2152
WI
1041C0700X
Clinical Social Worker
6145
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39773900
—
WI
Enumeration date
07/18/2006
Last updated
11/09/2023
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