DWAYNE EDWARD ODELL

KALAMAZOO, MI
NPI1477123644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-06-29
Last Update Date2021-06-29
Business Address
DWAYNE EDWARD ODELL
519 S PARK ST
KALAMAZOO, MI 49007-5117
Phone number: 269-383-2204
Mailing Address
DWAYNE EDWARD ODELL
519 S PARK ST
KALAMAZOO, MI 49007-5117
Phone number: 269-383-2204