Individual
KAITLIN ODICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
4054 VERMONT LN, NORTH PORT, FL 34287-7242
(941) 400-9182
Mailing address
4054 VERMONT LN, NORTH PORT, FL 34287-7242
(941) 400-9182
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/17/2016
Last updated
12/10/2018
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