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1356869101
JAMIE LOUIS OTTER
PONTIAC, MI
NPI
1356869101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801109071)
Enumeration Date
2017-08-31
Last Update Date
2021-06-15
Business Address
Mr. JAMIE LOUIS OTTER
114 ORCHARD LAKE RD
PONTIAC, MI 48341-2244
Phone number: 248-858-7766
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Mailing Address
Mr. JAMIE LOUIS OTTER
391 S SHORE DR STE 214
BATTLE CREEK, MI 49014-5446
Phone number: 269-964-0153
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