MATTHEW NICHOLAS OTTO

LEXINGTON, KY
NPI1053907634
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: KY  290511)
Enumeration Date2020-12-17
Last Update Date2024-06-24
Business Address
MATTHEW NICHOLAS OTTO TCADC
600 PERIMETER DR STE 125
LEXINGTON, KY 40517-4296
Phone number: 866-678-8123
Mailing Address
MATTHEW NICHOLAS OTTO TCADC
761 DAWSON SPRINGS WAY
LEXINGTON, KY 40511-2315
Phone number: 928-830-9476
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