MS. Shannon Joel Otto, LMSW
NPI #1114049673 in Raton, New Mexico
Provider Information
- NPI Number
- 1114049673
- Entity Type
- Individual
- Name
- MS. Shannon Joel Otto, LMSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LMSW
- Enumeration Date
- Apr 4, 2007
- Last Updated
- Nov 12, 2008
Practice Location
- Address
- 220 4TH AVE
- City
- Raton
- State
- New Mexico
- ZIP Code
- 87740-2643
- Phone
- (575) 445-2754
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - School — School |
| Social Worker - Clinical — Clinical |
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