Individual
IFEOMA ODOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Mailing address
8100 EMERSON AVE S, BLOOMINGTON, MN 55420-1051
(952) 486-1449
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27933
MN
Other
Enumeration date
11/19/2024
Last updated
07/14/2025
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