Provider Information for 1861451023
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JEAN S ODACHOWSKI LPC
Sex: Female
NPI: 1861451023
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1861451023 | ||||||||
| Enumeration Date | 2006-03-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 24 CLAY ST MARTINSVILLE, VA 24112-2810 United States Phone: 276-632-7128 | Fax:276-632-0127 | ||||||||
| Primary Practice Address | 24 CLAY ST MARTINSVILLE, VA 24112-2810 United States Phone: 276-632-7128 | Fax:276-632-0127 | ||||||||
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