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Individual

LAURA ELLISA ODELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., CCC-SLP

Contact information

Practice address
304 JANET ST STE D, VALDOSTA, GA 31602-2643
(229) 469-4580
(229) 469-4580
Mailing address
304 JANET ST STE D, VALDOSTA, GA 31602-2643
(229) 469-4580
(229) 469-4580

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008601
GA

Other

Enumeration date
09/30/2014
Last updated
09/30/2014
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