Individual
MRS. ELIZABETH ANN ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
213 E 2ND ST, FAIRMONT, MN 56031-2814
(507) 238-4757
(507) 238-1574
Mailing address
213 E 2ND ST, FAIRMONT, MN 56031-2814
(507) 238-4757
(507) 238-1574
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00219
MN
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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