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1871651299
STACEY OTTO
OSHKOSH, WI
NPI
1871651299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WI 6910-123)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
STACEY OTTO
220 WASHINGTON AVENUE
OSHKOSH, WI 54901
Phone number: 920-236-4600
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Mailing Address
STACEY OTTO
P. O. BOX 2187
OSHKOSH, WI 54903-2187
Phone number: 920-236-4600
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