Individual
MELANIE GWEN ODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2404 23RD ST, WYANDOTTE, MI 48192-4432
(734) 341-8029
Mailing address
2404 23RD ST, WYANDOTTE, MI 48192-4432
(734) 341-8029
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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