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Individual

MARTHA M O'DANOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35000126A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200136790
IN
Enumeration date
09/16/2005
Last updated
08/28/2014
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