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Individual
MS. CLAIRISSA M. O'DEA
Active
Individual
MS. CLAIRISSA M. O'DEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.006898
IL
101YM0800X
Mental Health Counselor
Primary
LAC-20665
AZ
Other
Enumeration date
07/09/2012
Last updated
08/20/2024
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