Individual
KATHRYN OTTMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC
Contact information
Practice address
319 N 12TH ST STE 1, CORSICANA, TX 75110-4604
(877) 872-1003
(903) 872-1441
Mailing address
10226 FM 3396, KEMP, TX 75143-6249
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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