Individual
MR. VERNON MITCHELL ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
14 SPRING TREE DR, SIMPSONVILLE, SC 29681-5299
(864) 230-7477
Mailing address
14 SPRING TREE DR, SIMPSONVILLE, SC 29681-5299
(864) 230-7477
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13790
SC
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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