Otto, Lisa Michelle
Otto, Lisa Michelle is an individual health care provider with primary practice located at 7 Vauxhall St , New London CT 06320-5711. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Otto, Lisa Michelle can be contacted via phone (860) 442-2797.Contact Information
Primary practice address
7 Vauxhall St
New London CT 06320-5711
Phone: (860) 442-2797
Fax: (860) 701-3776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 005320 | Connecticut |
Profile Details
| NPI number | 1336274190 |
|---|---|
| LBN Legal business name | Otto, Lisa Michelle |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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