Organization
JACKIE O'DELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE O'DELL LCSW (SOCIAL WORKER)
(615) 879-4113
Entity
Organization
Contact information
Practice address
1202 FATHERLAND ST, NASHVILLE, TN 37206-2908
(615) 879-4113
Mailing address
1202 FATHERLAND ST, NASHVILLE, TN 37206-2908
(615) 879-4113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0000003919
TN
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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