Individual
MARY LYN OETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
101 E 22ND ST, ATLANTIC, IA 50022-2800
(712) 254-9018
(712) 254-9019
Mailing address
PO BOX 1, PANAMA, IA 51562-0001
(712) 254-9018
(712) 254-9019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05175
IA
Other
Enumeration date
03/05/2007
Last updated
03/22/2018
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