Individual
ALICIA MARIE OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
103 OLD MARLTON PIKE STE 101, MEDFORD, NJ 08055-8772
(856) 223-2222
Mailing address
95 KNOLL DR, BLACKWOOD, NJ 08012-5414
(609) 560-9341
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05830400
NJ
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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