Individual
DIONNE MARIE OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA, LCCE, CLC
Contact information
Practice address
304 COLTON AVE, BLOOMINGTON, IL 61701-3310
(309) 706-9881
Mailing address
304 COLTON AVE, BLOOMINGTON, IL 61701-3310
(309) 706-9881
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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