Individual
OTIS WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1602 FOREST AVE NW, FORT PAYNE, AL 35967-3324
(256) 630-0156
(256) 638-1854
Mailing address
1602 FOREST AVE NW, FORT PAYNE, AL 35967-3324
(256) 630-0156
(256) 638-1854
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3685C
AL
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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