Individual
MS. CONNIE E ODEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1037 22ND ST S, #200, BIRMINGHAM, AL 35205-2874
(205) 492-1986
(205) 326-1514
Mailing address
1037 22ND ST S, #200, BIRMINGHAM, AL 35205-2874
(205) 492-1986
(205) 326-1514
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0532 1528C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51527856
BLUE CROSS PROVIDER NUMBE
AL
Enumeration date
06/09/2006
Last updated
07/09/2007
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