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1598035701
MATTHEW IRA OTTO
COLUMBIA, MD
NPI
1598035701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MD LC4279)
Enumeration Date
2012-01-04
Last Update Date
2012-01-04
Business Address
MR. MATTHEW IRA OTTO L.C.P.C.
10774 HICKORY RIDGE RD
COLUMBIA, MD 21044-3646
Phone number: 410-997-7288
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Mailing Address
MR. MATTHEW IRA OTTO L.C.P.C.
6835 WOODCREST RD
NEW MARKET, MD 21774-2946
Phone number: 410-997-7288
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