institution
Lisa Otto, Lcsw Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Laramie, Wyoming
NPI 1356923627

Lisa Otto, Lcsw Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Laramie, WY and is specialized in Mental Health (Including Community Mental Health Center). Lisa Otto, Lcsw Llc practices in Laramie, WY. The NPI Number for Lisa Otto, Lcsw Llc is 1356923627 and holds a License No. (Wyoming).

The current practice location address for Lisa Otto, Lcsw Llc is 121 E Grand Ave Ste 209, Laramie, WY and can be reached out via phone at 307-760-2517.

Location: 121 E Grand Ave Ste 209, Laramie, WY, 82073-0982
institution
Provider Profile Details
NPI Number
1356923627
Provider Name
Lisa Otto, Lcsw Llc
Credential
Provider Entity Type
Organization
Address
121 E Grand Ave Ste 209, Laramie, WY, 82073-0982
Phone Number
307-760-2517
Fax Number
Provider Enumeration Date
04/26/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1851707574 01 NPI
institution
Provider Business Practice Location Address Details
Address
121 E Grand Ave Ste 209
City
State
Zip
82070-3652
Phone Number
307-760-2517
Fax Number
person
Provider Business Mailing Address Details
Address
121 E Grand Ave Ste 209
City
State
Zip
82070-3652
Phone Number
307-760-2517
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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