Organization
JO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER P ODOM LCSW (THERAPIST)
(570) 479-1626
Entity
Organization
Contact information
Practice address
120 N ABINGTON RD, CLARKS GREEN, PA 18411-2541
(570) 479-1626
(570) 586-2196
Mailing address
120 N ABINGTON RD, CLARKS GREEN, PA 18411-2541
(570) 479-1626
(570) 586-2196
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017373
PA
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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