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Individual

CRYSTAL ODOMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2001 S MEDFORD DR, LUFKIN, TX 75901-6260
(936) 633-5672
Mailing address
2001 S MEDFORD DR, LUFKIN, TX 75901-6260
(936) 633-5672

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
55568
TX

Other

Enumeration date
01/12/2015
Last updated
01/12/2015
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