Individual
MIRANDA LYNN O'DELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
22540 LORAIN RD, FAIRVIEW PARK, OH 44126-2212
(440) 734-4037
Mailing address
151 VINEYARD DR APT 203, BROADVIEW HEIGHTS, OH 44147-3335
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1700681
OH
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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