Individual
LAURA L ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2495 SHREVEPORT HWY # 71, PINEVILLE, LA 71360-4044
(318) 473-0010
(318) 483-5117
Mailing address
PO BOX 69004, ALEXANDRIA, LA 71306-9004
(318) 473-0010
(318) 483-5117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2663
LA
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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