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1164992178
MICHAEL OTTONE
IRMO, SC
NPI
1164992178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC 5841)
Enumeration Date
2018-12-03
Last Update Date
2018-12-03
Business Address
Mr. MICHAEL OTTONE LISW-CP
653 HAMLIN WAY
IRMO, SC 29063-7753
Phone number: 803-465-0347
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Mailing Address
Mr. MICHAEL OTTONE LISW-CP
653 HAMLIN WAY
IRMO, SC 29063-7753
Phone number: 803-465-0347
Copy
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