Individual
MRS. DEBORAH JEAN ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBP
Contact information
Practice address
7204 NW COMPASS DR, LAWTON, OK 73505-5423
(580) 583-3556
Mailing address
7204 NW COMPASS DR, LAWTON, OK 73505-5423
(580) 583-3556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100734740-F
—
OK
Enumeration date
01/22/2010
Last updated
05/01/2013
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