Individual
MR. BRUCE DENNIS OTTENBREIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
15350 N COMMERCE DR, DEARBORN, MI 48120-1297
(313) 575-6297
Mailing address
15350 N COMMERCE DR, DEARBORN, MI 48120-1297
(313) 575-6297
(313) 406-6433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801007603
MI
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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