Mrs. Judith A. Otto LCSW
Clinical Social Worker in Brookfield, WI(View on Map)
Full Name
Mrs. Judith A Otto LCSW
NPI Number
1982611265
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/01/2006
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
170-123
Contact
Information
Purpose
Mailing
Location
Address
12630 W NORTH AVE
12630 W NORTH AVE BLDG E
City
Brookfield
Brookfield
State
WI
WI
Postal Code
53005-4626
53005
Country
US
US
Telephone Number
(262) 785-1008
(262) 785-1008
Identifiers
Identifier
39624700
Identifier State
WI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/30/2018
Provider Address
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