Individual
KIRSTIE DAWN OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IMFT
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 932-2800
Mailing address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 932-2800
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
F.2300316
OH
Other
Enumeration date
08/28/2020
Last updated
11/04/2025
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