Matthew Ottenweller

NPI #1255875282 in Tucker, Georgia

Provider Information

NPI Number: 1255875282
Entity Type: Individual
Name: Matthew Ottenweller
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 9, 2016
Last Updated: Mar 29, 2024

Practice Location

Address: 4500 HUGH HOWELL RD STE 410
City: Tucker
State: Georgia
ZIP Code: 30084-4732
Phone: (404) 594-2940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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