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1649728148
VIVICA ROTH ODELL
WHEATON, IL
NPI
1649728148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.017502)
Enumeration Date
2016-09-14
Last Update Date
2016-09-14
Business Address
Ms. VIVICA ROTH ODELL LCSW
122 W LIBERTY DR
WHEATON, IL 60187-5124
Phone number: 630-682-1910
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Mailing Address
Ms. VIVICA ROTH ODELL LCSW
608 PARKWAY DR
WHEATON, IL 60187-3621
Phone number: 630-561-2675
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