NPI 1053551473
Virginia a O'Donnell, BSW
Practice location
- Address
- 21885 Dunham Rd Suite 1, Clinton Township, MI 48036-1030
- Phone
- (586) 469-5950
- Mailing address
- 2811 Omar St, Port Huron, MI 48060-2960
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1053551473
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Feb 2009
- Record last updated
- 7 Sep 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.