Individual
MCKENZIE JEAN ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 OLD 49 HWY, ERIN, TN 37061-4847
(931) 436-5363
Mailing address
1620 OLD 49 HWY, ERIN, TN 37061-4847
(931) 436-5363
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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