Individual
AMY ODERMATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 S LAKELAND DR STE 4, LAKELAND, FL 33813-2623
(863) 606-5922
Mailing address
5121 S LAKELAND DR STE 4, LAKELAND, FL 33813-2623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/28/2010
Last updated
05/06/2016
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