Most Relevant Information
Provider Data
| NPI Number: | 1003268293 |
| Provider Name: | STEPHANIE ODEGARD MA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/12/2016 |
| Last Updated: | 07/12/2016 |
Provider Practice Location
1811 WEIR DR
SUTIE 270
WOODBURY
MN
551252272
Practice Location Phone/Fax
| Phone: | 6517149646 |
| Fax: |
Provider Mailing Location
1811 WEIR DR
SUTIE 270
WOODBURY
MN
551252272
Provider Mailing Phone/Fax
| Phone: | 6517149646 |
| Fax: |