Individual
SHELBY LYNN ODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
300 JAMES BOHANAN DR, VANDALIA, OH 45377-2300
(937) 742-7516
Mailing address
2213 SOUTHLEA DR, DAYTON, OH 45459-3640
(937) 844-1990
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
M.1900118
OH
Other
Enumeration date
10/03/2019
Last updated
11/13/2019
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