Individual
HEATHER ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 ELDON BAKER DRIVE, FLINT, MI 48507
(810) 742-3134
Mailing address
1100 ELDON BAKER DRIVE, FLINT, MI 48502
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
06/13/2016
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