Individual
MARILYN DIANE ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 E BROADWAY APT 505, LONG BEACH, CA 90802-6265
(707) 653-0294
Mailing address
250 E BROADWAY APT 505, LONG BEACH, CA 90802-6265
(707) 653-0294
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13856
CA
Other
Enumeration date
05/14/2024
Last updated
07/12/2024
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