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Individual

DR. RICHARD LANE ODOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
7664 SLATE RIDGE BLVD, REYNOLDSBURG, OH 43068-8158
(614) 863-4119
(614) 863-4040
Mailing address
7664 SLATE RIDGE BLVD, REYNOLDSBURG, OH 43068-8158
(614) 863-4119
(614) 863-4040

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4100
OH

Other

Enumeration date
11/18/2007
Last updated
11/18/2007
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