JAMES CALVIN ODOM

FORT WAYNE, IN
NPI1487421434
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies104100000X Social Worker
Enumeration Date2023-12-11
Last Update Date2023-12-11
Business Address
JAMES CALVIN ODOM
6030 E STATE BLVD
FORT WAYNE, IN 46815-7639
Phone number: 260-245-6374
Mailing Address
JAMES CALVIN ODOM
6030 E STATE BLVD
FORT WAYNE, IN 46815-7639
Phone number: 260-245-6374