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Individual

ELISHA ODEGARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT-I

Contact information

Practice address
9402 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
(725) 222-8037
Mailing address
9402 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MI1248
NV

Other

Enumeration date
04/03/2020
Last updated
04/03/2020
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