Lisa Otto, Lcsw LLC

NPI #1356923627 in Laramie, Wyoming

Provider Information

NPI Number
1356923627
Entity Type
Organization
Organization Name
Lisa Otto, Lcsw LLC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Apr 26, 2021
Last Updated
Apr 26, 2021

Practice Location

Address
121 E GRAND AVE STE 209
State
Wyoming
ZIP Code
82070-3652
Phone
(307) 760-2517

Authorized Official

Name
LISA OTTO, LCSW
Title
CEO
Phone
(307) 760-2517

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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