Individual
RACHEL ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
704 PINE DRIFT DR, ODENTON, MD 21113-2504
(724) 456-1504
Mailing address
704 PINE DRIFT DR, ODENTON, MD 21113-2504
(724) 456-1504
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
MD
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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