O'dell Jamison LCSW

NPI 1033236146 - Social Worker - 1041C0700X

NPI Details
NPI 1033236146
Gender Male
Enumeration Date 03/23/2007
Last Updated 02/02/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
400 W 95TH ST
CHICAGO IL, 60628-1120, US
Phone (773) 994-9937
Fax (773) 994-9943
Business Location
340 HOLBROOK CIR
CHICAGO HEIGHTS IL, 60411-1187, US
Phone (708) 755-4220
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149005895
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According to our database, Mr. O'dell Jamison LCSW NPI is 1033236146, taxonomy code is 1041C0700X and license number is 149005895, license state is located at Illinois. O'dell Jamison LCSW physically located at 400 W 95th St, Chicago IL, 60628-1120. NPI Number O'dell Jamison LCSW has the Individual type.

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1033236146 NPI number is provided on an as is basis without warranty of any kind. 1033236146 is maintained by the National Plan & Provider Enumeration System. The contents of O'dell Jamison LCSW are for informational purposes only.