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1881780542
MARK RICHARD ODOM
SANTA ANA, CA
NPI
1881780542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 18745)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
Mr. MARK RICHARD ODOM LCSW
1540 E 1ST ST SUITE 100
SANTA ANA, CA 92701-6341
Phone number: 714-972-3700
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Mailing Address
Mr. MARK RICHARD ODOM LCSW
1540 E 1ST ST SUITE 100
SANTA ANA, CA 92701-6341
Phone number: 714-504-4124
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