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1902810468
IDA M. O'DONNELL
SOUTH PORTLAND, ME
NPI
1902810468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC4676)
Enumeration Date
2006-07-28
Last Update Date
2012-05-16
Business Address
-- IDA M. O'DONNELL LCSW
813 BROADWAY ART OF AWARENESS, INC.
SOUTH PORTLAND, ME 04106-2708
Phone number: 207-799-1331
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Mailing Address
-- IDA M. O'DONNELL LCSW
813 BROADWAY ART OF AWARENESS, INC.
SOUTH PORTLAND, ME 04106-2708
Phone number: 207-799-1331
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