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Individual
JOYCE ANN ODELL
Active
Individual
JOYCE ANN ODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.,
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C000621
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6002103
—
NC
01
—
6368K
BCBS
NC
Enumeration date
01/30/2008
Last updated
01/30/2008
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