Organization
JESSIE ODEGARD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE ODEGARD MSW LICSW (OWNER)
(612) 770-6059
Entity
Organization
Contact information
Practice address
144 SUDBURY RD, WESTON, MA 02493-1351
(612) 770-6059
Mailing address
PO BOX 424, WESTON, MA 02493-0003
(612) 770-6059
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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