Individual
OMNI ODUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1121 VILLA LINDE CT BLDG 39, FLINT, MI 48532-3410
(810) 515-1931
Mailing address
21137 OAK RIDGE DR, CLINTON TOWNSHIP, MI 48036-3860
(810) 288-3475
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017329
MI
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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