Organization
KATHLEEN L. OTTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN LYNN OTTE (PROVIDER)
(307) 721-2120
Entity
Organization
Contact information
Practice address
382 N LINCOLN ST, LARAMIE, WY 82070-6100
(307) 721-2120
Mailing address
382 N LINCOLN ST, LARAMIE, WY 82070-6100
(307) 721-2120
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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