Individual
LORI ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHRW
Contact information
Practice address
925 STATE HWY VV, KENNETT, MO 63857
(573) 359-2600
Mailing address
925 STATE HWY VV, KENNETT, MO 63857
(573) 359-2600
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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