Individual
MS. SUSAN H ODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
151 STAFFORD DR, PLATTSBURGH, NY 12901-5333
(518) 907-4326
Mailing address
151 STAFFORD DR, PLATTSBURGH, NY 12901-5333
(518) 907-4326
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
005380-1
NY
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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