Individual
KAYLEE ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
88001259A
IN
Other
Enumeration date
08/10/2020
Last updated
04/07/2021
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