Individual
OTTER PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 WHALEN RD STE A, VERONA, WI 53593-1766
(608) 467-4864
Mailing address
107 E MAIN ST, MOUNT HOREB, WI 53572-2137
(302) 545-9580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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