Individual
MRS. MACKENZIE JOAN ODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
30980 FRANKLIN RD, FRANKLIN, MI 48025-1493
(248) 763-6694
Mailing address
30980 FRANKLIN RD, FRANKLIN, MI 48025-1493
(248) 763-6694
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004243
MI
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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