Individual
MR. AUDWIN LEWIS ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, CADC
Contact information
Practice address
1902A MARYLAND AVE, WILMINGTON, DE 19805-4605
(302) 655-7108
(302) 655-0689
Mailing address
1902A MARYLAND AVE, WILMINGTON, DE 19805-4605
(302) 655-7108
(302) 655-0689
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1047
DE
1041C0700X
Clinical Social Worker
—
DE
Other
Enumeration date
02/26/2010
Last updated
05/02/2012
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