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Individual

MRS. VIRGINIA A O'DONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSW

Contact information

Practice address
21885 DUNHAM RD, SUITE 1, CLINTON TOWNSHIP, MI 48036-1030
(586) 469-5950
Mailing address
2811 OMAR ST, PORT HURON, MI 48060-2960
(586) 469-6674

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
02/25/2009
Last updated
09/07/2023
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