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Individual

SUZANNE C ODDO

Active
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Individual

SUZANNE C ODDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2005121
OH
1041C0700X
Clinical Social Worker
179.030994
IL
1041C0700X
Clinical Social Worker
Primary
C019699
NC

Other

Enumeration date
07/16/2020
Last updated
03/11/2026
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