Individual
MS. MARY BETH OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.C.C.
Contact information
Practice address
335 BUCKEYE BLVD, PORT CLINTON, OH 43452-1423
(419) 734-2942
(419) 734-4922
Mailing address
335 BUCKEYE BLVD, PORT CLINTON, OH 43452-1423
(419) 734-2942
(419) 734-4922
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0500160
OH
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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