GERALD GENE ODOM

WAUKEGAN, IL
NPI1548535966
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-03-19
Last Update Date2012-03-19
Business Address
Mr. GERALD GENE ODOM
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 284-737-7868
Mailing Address
Mr. GERALD GENE ODOM
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 284-737-7868
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