Jessica Otis, LCSW

NPI #1396163002 in Riverton, Utah

Provider Information

NPI Number: 1396163002
Entity Type: Individual
Name: Jessica Otis, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Mar 31, 2014
Last Updated: Feb 23, 2022

Practice Location

Address: 12971 S SHAWNEE DR
City: Riverton
State: Utah
ZIP Code: 84096-7805
Phone: (801) 910-5587

Specialties & Taxonomy Codes

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

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