Individual
HALLIE BROOKE ODLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
48 COUNTY ROAD 258, CORINTH, MS 38834-7813
(662) 284-6229
Mailing address
48 COUNTY ROAD 258, CORINTH, MS 38834-7813
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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