Individual
PATSY E ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
24 PUBLIC SQUARE, LAWRENCEBURG, TN 38464
(931) 762-8883
(931) 762-8820
Mailing address
PO BOX 564, LAWRENCEBURG, TN 38464
(931) 762-8883
(931) 762-8820
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000004354
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4077658
BCBS
TN
Enumeration date
12/21/2006
Last updated
07/08/2007
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