Individual
KRISTIN ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 W JACKSON ST, RIDGELAND, MS 39157-2219
(601) 345-1334
Mailing address
302 W JACKSON ST, RIDGELAND, MS 39157-2219
(601) 345-1334
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2987
MS
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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