Individual
KAYE A OTTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C, LICSW
Contact information
Practice address
1555 CONNECTICUT AVE NW STE 200E, WASHINGTON, DC 20036-1126
(202) 779-5769
Mailing address
20411 WESTERLY RD, POOLESVILLE, MD 20837-9317
(404) 353-1450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC200003431
DC
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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