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Individual

BROOKE O'DELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
Mailing address
1060 WEBBER ST, THE DALLES, OR 97058-3749

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
L10613
OR

Other

Enumeration date
09/26/2018
Last updated
08/24/2021
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