Individual
RICHARD J ODIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9233 WARD PKWY, SUITE 125, KANSAS CITY, MO 64114-3366
(913) 327-4686
(816) 333-1776
Mailing address
5827 CHARLOTTE ST, KANSAS CITY, MO 64110-3017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005056
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495456105
—
MO
Enumeration date
01/08/2007
Last updated
12/22/2014
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