TIJUANA ODOM

APO, AE
NPI1285183517
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  12280)
Enumeration Date2016-09-28
Last Update Date2023-08-24
Business Address
TIJUANA ODOM LCSW
UNIT 3215
APO, AE 09094-3215
Phone number: 314-479-4475
Mailing Address
TIJUANA ODOM LCSW
UNIT 5115 BOX 48TH
APO, AE 09461-5115
Phone number: 314-268-1505