| Jessie Odegard Pllc | |
|
144 Sudbury Rd Weston MA 02493-1351 | |
| (612) 770-6059 | |
| Not Available |
| Full Name | Jessie Odegard Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 144 Sudbury Rd, Weston, Massachusetts |
| Authorized Official Name and Position | Jessie Odegard (OWNER) |
| Authorized Official Contact | 6127706059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessie Odegard Pllc Po Box 424 Weston MA 02493-0003 Ph: (612) 770-6059 | Jessie Odegard Pllc 144 Sudbury Rd Weston MA 02493-1351 Ph: (612) 770-6059 |
| NPI Number | 1992318927 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992318927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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