Individual
MRS. KIMBERLY ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2602 WHITE ROSE DR, LOGANVILLE, GA 30052-2196
(404) 644-2006
Mailing address
2602 WHITE ROSE DR, LOGANVILLE, GA 30052-2196
(404) 644-2006
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
000369
GA
Other
Enumeration date
11/28/2018
Last updated
07/10/2025
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