Alexis Amanda Odom
Social Worker, Clinical in Torrance, CA. Individual provider (NPI-1).
NPI number1164035788
StatusActive
Last updated in NPPESSep 17, 2024
Details
- NPI
- 1164035788
- Entity type
- Individual (NPI-1)
- Name
- Alexis Amanda Odom
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2020
- Certification date
- Sep 17, 2024
- Last updated
- Sep 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW125834 | CA | Yes |
| 104100000X | Social Worker | ACSW97483 | CA | |
| 104100000X | Social Worker | LCSW125834 | CA |
Practice location
370 Crenshaw Blvd Ste E100Torrance, CA 90503-1728
Phone 310-787-1500
Mailing address
370 Crenshaw Blvd Ste E100Torrance, CA 90503-1728
Phone 310-787-1500
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