Individual
MRS. ROSE ODUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6000
Mailing address
7726 W COUNTRY GABLES DR, PEORIA, AZ 85381-3409
(623) 266-0348
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0152
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
622581
—
AZ
Enumeration date
03/07/2007
Last updated
07/09/2007
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