Individual
RITA JO O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 BUCHANAN ST, CARTHAGE, IL 62321-1401
(217) 773-3325
(217) 773-2425
Mailing address
607 BUCHANAN ST, CARTHAGE, IL 62321-1401
(217) 773-3325
(217) 773-2425
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.012425
IL
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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