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1215327697
STEPHEN OTTO
SANTA CRUZ, CA
NPI
1215327697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF84519)
Enumeration Date
2015-01-23
Last Update Date
2015-01-23
Business Address
-- STEPHEN OTTO
104 WALNUT AVE 208
SANTA CRUZ, CA 95060-3900
Phone number: 831-423-1532
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Mailing Address
-- STEPHEN OTTO
180 DAKOTA AVE APT 63
SANTA CRUZ, CA 95060-6616
Phone number: 831-278-1425
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