Individual
ALLISON D. O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2411 FAIRLAWN DRIVE, CARTHAGE, MO 64836
(417) 359-8093
(417) 359-8094
Mailing address
PO BOX 54, CARTHAGE, MO 64836-0054
(417) 359-8093
(417) 359-8094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2004018918
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496004011
—
MO
Enumeration date
05/08/2008
Last updated
05/08/2008
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