| Doctor Name: | MRS. CAROLYN JULIA O'DAY |
| NPI Number: | 1003920018 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | L0548 |
| Business Practice Address: | 1230 7th Ave Longview, WA - 986323166 |
| Business Phone Number: | 3606366235 |
| Business Fax Number: | 3605754805 |
| Mailing Address: | Po Box 795, KELSO |
| State: | WA |
| Postal Code: | 986260069 |
| Phone Number: | 3604254481 |
| Fax Number: | 3604254481 |
| NPI Enumeration Date: | 08/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | L0548 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |