Micah Quincey O'dell

NPI #1295376317 in Fayetteville, Tennessee

Provider Information

NPI Number: 1295376317
Entity Type: Individual
Name: Micah Quincey O'dell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Sep 30, 2019
Last Updated: Sep 30, 2019

Practice Location

Address: 2241 THORNTON TAYLOR PKWY
City: Fayetteville
State: Tennessee
ZIP Code: 37334-3637
Phone: (931) 433-6456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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