Individual
KATE ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
837 N KENILWORTH AVE, OAK PARK, IL 60302-1518
(312) 566-8567
Mailing address
9650 ZELZAH AVE, NORTHRIDGE, CA 91325-2003
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0710118
IL
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
09/03/2009
Last updated
05/15/2023
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