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Individual

MS. CAROLYN SUE O'DELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
610 MEMORIAL AVE, CUMBERLAND, MD 21502-3767
(301) 707-0744
Mailing address
36 RACKIN ON RD, GRANTSVILLE, MD 21536-3251
(301) 707-0744

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
21149
MD
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
21149
MD

Other

Enumeration date
05/16/2021
Last updated
09/24/2022
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