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Organization
ODILE PSYCHOTHERAPY SERVICE, PLLC
Active
Organization
ODILE PSYCHOTHERAPY SERVICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANIQUE HIRD (BILLING MANAGER)
(347) 517-9224
Entity
Organization
Contact information
Practice address
875 DEKALB AVE, BROOKLYN, NY 11221-6244
(917) 260-9138
Mailing address
875 DEKALB AVE, BROOKLYN, NY 11221-6244
(917) 260-9138
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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