Odom, Amelia L

Odom, Amelia L is an individual health care provider with primary practice located at 8 Executive Dr , Fairview Heights IL 62208-1345. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Odom, Amelia L can be contacted via phone (618) 688-7100.

Contact Information

Primary practice address
8 Executive Dr Fairview Heights IL 62208-1345
Phone: (618) 688-7100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1528600137
LBN Legal business name Odom, Amelia L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2019
Last updated Oct 15th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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