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Individual

MS. ANGELA M. ODDONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
69 HANNAHS TER, ROCHESTER, NY 14612-4908
(585) 730-5298
Mailing address
69 HANNAHS TER, ROCHESTER, NY 14612-4908
(585) 730-5298

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
076053
NY
1041C0700X
Clinical Social Worker
Primary
0904003092
VA
1041C0700X
Clinical Social Worker
Q1-0000900
DE

Other

Enumeration date
10/20/2007
Last updated
10/21/2008
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