Individual
CLAIRE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
175 GREEN ST UNIT 4, KINGSTON, NY 12401-3716
(845) 532-9460
Mailing address
175 GREEN ST UNIT 4, KINGSTON, NY 12401-3716
(845) 532-9460
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103028
NY
Other
Enumeration date
06/26/2021
Last updated
06/26/2021
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