Individual
MRS. LESLI ODUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6396 ROYAL TERN ST, ORLANDO, FL 32810-6012
(407) 801-9628
Mailing address
1070 MONTGOMERY RD UNIT 279, ALTAMONTE SPRINGS, FL 32714-7420
(407) 801-9628
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
FL
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
Other
Enumeration date
09/18/2014
Last updated
11/02/2021
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