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General NPI Number Information
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NPI Number | 1699111377
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Entity Type | Individual
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Provider Name | MELISSA J O'DONNELL LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/21/2013
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 2306 WOODOAK CIR
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City | ROUND LAKE BEACH
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State | IL
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Zip | 60073-4144
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Country | US
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Telephone | 815-403-9188
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Fax |
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Provider Business Mailing Address
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Address Line | 4001 W DAYTON ST
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City | MCHENRY
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State | IL
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Zip | 60050-8377
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Country | US
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Telephone | 815-759-7291
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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