OTIS WASHINGTON

FORT PAYNE, AL
NPI1801284005
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AL  3685C)
Enumeration Date2014-12-23
Last Update Date2014-12-23
Business Address
-- OTIS WASHINGTON LCSW
1602 FOREST AVE NW
FORT PAYNE, AL 35967-3324
Phone number: 256-630-0156
Mailing Address
-- OTIS WASHINGTON LCSW
1602 FOREST AVE NW
FORT PAYNE, AL 35967-3324
Phone number: 256-630-0156
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