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Individual

DR. LINDA D ODANIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
12904 DIVISION ST APT 2A, BLUE ISLAND, IL 60406-3420
(773) 236-6511
Mailing address
12904 DIVISION ST APT 2A, BLUE ISLAND, IL 60406-3420
(773) 236-6511

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
133NN1002X
Nutrition Education Nutritionist
171M00000X
Case Manager/Care Coordinator
Primary
IL
172V00000X
Community Health Worker
174H00000X
Health Educator
251B00000X
Case Management Agency

Other

Enumeration date
10/09/2020
Last updated
10/09/2020
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