Individual
MS. STACIE L. ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3305 WEST END AVE, NASHVILLE, TN 37203
(615) 386-4900
(615) 386-4999
Mailing address
1127 FOX RIDGE DR, POWELL, TN 37849-3992
(865) 947-8551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP3144
TN
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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