Provider Information for 1881098986
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Mrs. FAITH OTOBO LCSW
Sex: Female
NPI: 1881098986
Last Updated: 2022-09-01
Certification Date: 2022-09-01
Certification Date: 2022-09-01
Details
Name | Value | ||||||||||||
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NPI | 1881098986 | ||||||||||||
Enumeration Date | 2014-10-17 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 600 BROADWAY, STE 200 #6356 ALBANY, NY 12207-4761 United States Phone: | Fax: | ||||||||||||
Primary Practice Address | 600 BROADWAY STE 200 ALBANY, NY 12207-2236 United States Phone: 646-867-9078 | Fax: | ||||||||||||
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