Individual
COURTNEY MICHELLE OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
111 GLENSHIRE LN, MEDINA, OH 44256-8165
(330) 635-8637
Mailing address
111 GLENSHIRE LN, MEDINA, OH 44256-8165
(330) 635-8637
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1500987
OH
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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