Individual
VANESSA ODLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32961 MIDDLEBELT RD, FARMINGTON HILLS, MI 48334-1729
(800) 395-3223
(248) 620-6405
Mailing address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(800) 395-3223
(248) 620-6405
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
02/06/2024
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