Individual
MR. TERRENCE ODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(313) 722-5384
(734) 467-7646
Mailing address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(313) 722-5384
(734) 467-7646
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802087612
MI
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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