| Doctor Name: | SHARON ODLAND |
| NPI Number: | 1013211820 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 349653 |
| Business Practice Address: | 507 22nd Ave E Ste 1 Alexandria, MN - 563085186 |
| Business Phone Number: | 3207625124 |
| Business Fax Number: | |
| Mailing Address: | 507 22nd Ave E Ste 1, ALEXANDRIA |
| State: | MN |
| Postal Code: | 563085186 |
| Phone Number: | 3207625124 |
| Fax Number: | |
| NPI Enumeration Date: | 01/08/2011 |
| NPI Last Update Date: | 01/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 349653 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |