PATRICK RYAN ODOM

ROCHESTER, MN
NPI1417570805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  305643)
Enumeration Date2020-05-20
Last Update Date2020-05-20
Business Address
PATRICK RYAN ODOM LADC
2360 N BROADWAY
ROCHESTER, MN 55906-4065
Phone number: 507-282-0142
Mailing Address
PATRICK RYAN ODOM LADC
2360 N BROADWAY
ROCHESTER, MN 55906-4065
Phone number: 507-282-0142