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1306943865
JACQUELINE MAE ODELL
CHATTANOOGA, TN
NPI
1306943865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN LSW0000003919)
Enumeration Date
2006-09-19
Last Update Date
2007-07-09
Business Address
-- JACQUELINE MAE ODELL LCSW
6110 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Phone number: 800-632-6074
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Mailing Address
-- JACQUELINE MAE ODELL LCSW
PO BOX 10414
LARGO, FL 33773
Phone number: 800-632-6074
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