Individual
SKYLAR MICHELLE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
668 OLD SALT RD, SUMRALL, MS 39482-4232
(601) 270-6968
Mailing address
668 OLD SALT RD, SUMRALL, MS 39482-4232
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MS
Other
Enumeration date
12/17/2018
Last updated
01/07/2019
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