Individual
CALVETA ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 W 19TH ST, NORFOLK, VA 23517-2218
(757) 622-7017
Mailing address
222 W 19TH ST, NORFOLK, VA 23517-2218
(757) 622-7017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009342
VA
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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