Individual
CORETTA ODEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
BUILDING 576 JEFFERSON AVE, MCDONALD ARMY COMMUNITY HOSPITAL, FORT EUSTIS, VA 23604
(757) 314-7909
Mailing address
235 LOCH CIR, HAMPTON, VA 23669-5529
(757) 880-7307
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004487
VA
Other
Enumeration date
12/29/2005
Last updated
07/08/2007
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