Individual
DARIA ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
6434 N 15TH ST, PHILADELPHIA, PA 19126-3502
(267) 939-2601
Mailing address
6434 N 15TH ST, PHILADELPHIA, PA 19126-3502
(267) 939-2601
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW139097
PA
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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