Individual
HEIDI O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
355 ROUTE 46 W, MOUNTAIN LAKES, NJ 07046-1744
(201) 874-2220
Mailing address
355 ROUTE 46 W, MOUNTAIN LAKES, NJ 07046-1744
(201) 874-2220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05576400
NJ
Other
Enumeration date
08/29/2012
Last updated
03/31/2014
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