Individual
MRS. OLIVIA ODUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1567 NEW GARDEN RD APT 3A, GREENSBORO, NC 27410
(810) 875-1392
Mailing address
1567 NEW GARDEN RD APT 3A, GREENSBORO, NC 27410-1573
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/29/2015
Last updated
07/20/2018
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