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1114189800
MARK EDWARD ODEGARD
MONTEREY, CA
NPI
1114189800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ACSW17346)
Enumeration Date
2008-06-25
Last Update Date
2008-06-25
Business Address
Mr. MARK EDWARD ODEGARD PSW II
1200 AGUAJITO RD
MONTEREY, CA 93940-4887
Phone number: 831-647-7652
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Mailing Address
Mr. MARK EDWARD ODEGARD PSW II
1200 AGUAJITO RD
MONTEREY, CA 93940-4887
Phone number: 831-647-7652
Copy
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