Individual
JERRY DAVID ODEFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1000 LANGWORTHY ST, DUBUQUE, IA 52001-7313
(563) 584-3500
(563) 584-3520
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4100
(563) 584-4110
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00350
IA
Other
Enumeration date
06/08/2006
Last updated
11/30/2009
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