Shannon Wallace Ottens, ACSW

NPI #1740064229 in Sebastopol, California

Provider Information

NPI Number
1740064229
Entity Type
Individual
Name
Shannon Wallace Ottens, ACSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
ACSW
Enumeration Date
Aug 24, 2023
Last Updated
Aug 24, 2023

Practice Location

Address
652 PETALUMA AVE STE H
ZIP Code
95472-4266
Phone
(707) 823-3166

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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